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Gretchen Wagner

NPI 1881821627 · on the registry since 2009 · sole proprietor

Practice

Address
1732 Deroche Cir
Suite B
Gramercy, LA 70052
Phone
(225) 868-0309
Fax
(225) 869-0271

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-06-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana