Individual
GREGORY R. GUTGSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2215 VETERANS MEMORIAL BLVD., METAIRIE, LA 70002
(504) 838-3524
(504) 828-6155
Mailing address
3510 N CAUSEWAY BLVD, SUITE 300, METAIRIE, LA 70002-3531
(504) 831-3112
(504) 831-3778
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.017684
LA
208D00000X
General Practice Physician
017684
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03777206
—
MS
05
—
1363588
—
LA
Enumeration date
07/31/2006
Last updated
10/22/2011
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