Individual
MISS JULE IRENE GRIEBROK-ASSERCQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1401 NORTH FOSTER DR, LSU MID-CITY DIABETIC FOOT & WOUND CLINIC, BATON ROUGE, LA 70806
(225) 987-9013
(225) 987-9093
Mailing address
1401 N FOSTER DR, BATON ROUGE, LA 70806-1818
(225) 987-9013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21163
LA
207RC0000X
Cardiovascular Disease Physician
21163
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1489611
—
LA
Enumeration date
07/25/2006
Last updated
01/25/2021
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