Individual
DR. WARREN WALTER GREMMEL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 S WASHINGTON ST, DERIDDER, LA 70634-4861
(337) 462-5227
(337) 462-5228
Mailing address
301 S WASHINGTON ST, DERIDDER, LA 70634-4861
(337) 462-5227
(337) 462-5228
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11483R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11483R
MEDICAL LICENSE #
LA
Enumeration date
08/22/2006
Last updated
07/08/2007
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