Laura Fitzgerald Gruenhagen

NPI 1174814461 - Physician Assistant - 363A00000X

NPI Details
NPI 1174814461
Gender Female
Enumeration Date 04/21/2011
Last Updated 07/24/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
1462 MONTREAL RD
SUITE 411
TUCKER GA, 30084-6929, US
Phone (404) 296-8000
Fax
Business Location
1462 MONTREAL RD
SUITE 411
TUCKER GA, 30084-6929, US
Phone (404) 296-8000
Fax (770) 663-8905
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
Remove 1174814461 NPI Number
 

According to our database, Miss Laura Fitzgerald Gruenhagen NPI is 1174814461, taxonomy code is 363A00000X Laura Fitzgerald Gruenhagen physically located at 1462 Montreal Rd, Tucker GA, 30084-6929. NPI Number Laura Fitzgerald Gruenhagen has the Individual type.

Sponsored links

1174814461 NPI number is provided on an as is basis without warranty of any kind. 1174814461 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Fitzgerald Gruenhagen are for informational purposes only.