Individual
DR. ROBERT J GRIESHABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
714 W 16TH AVE, COVINGTON, LA 70433-2422
(985) 893-1035
(985) 893-1058
Mailing address
714 W 16TH AVE, COVINGTON, LA 70433-2422
(985) 893-1035
(985) 893-1058
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
014156
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014156
LA MEDICAL LISC
LA
Enumeration date
02/01/2007
Last updated
06/20/2012
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