Organization
NORTHSHORE ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC D GRIENER M.D. (MANAGER)
(985) 542-3336
Entity
Organization
Contact information
Practice address
17174 S I 12 SERVICE RD, HAMMOND, LA 70403-2408
(985) 542-3336
(985) 542-0733
Mailing address
2831 MONROE ST, MANDEVILLE, LA 70448-4936
(985) 542-3336
(985) 542-0733
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
019548
LA
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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