Individual
SUSAN GRENIER JEANFREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3040 33RD ST, METAIRIE, LA 70001-2036
(504) 832-5500
(504) 832-5531
Mailing address
6013 BENJAMIN ST, NEW ORLEANS, LA 70118-6123
(504) 899-1576
(504) 832-5531
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
015156
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0700252
UNITEDHEALTHCARE
LA
05
—
1331619
—
LA
Enumeration date
09/13/2006
Last updated
07/09/2007
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