Individual
THOMAS H GRIMSTAD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 MEDICAL CENTER BLVD, NORTH 504, MARRERO, LA 70072-3151
(504) 349-6705
(504) 347-0813
Mailing address
1111 MEDICAL CENTER BLVD, NORTH 504, MARRERO, LA 70072-3151
(504) 349-6705
(504) 347-0813
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
014059
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1172286
—
LA
Enumeration date
08/10/2005
Last updated
07/08/2007
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