Individual
ANDREW ALDEN GRUEZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
246 BONNABEL BLVD, METAIRIE, LA 70005-3739
(504) 650-7692
Mailing address
246 BONNABEL BLVD, METAIRIE, LA 70005-3739
(504) 650-7692
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD.207209
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2013
Last updated
10/11/2017
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