Individual
MR. GARY M LADUKE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4755 YANKEE RD, SAINT CLAIR, MI 48079-4114
(810) 656-4313
Mailing address
4755 YANKEE RD, SAINT CLAIR, MI 48079-4114
(810) 656-4313
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209029454
IL
367500000X
Certified Registered Nurse Anesthetist
4704308204
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11018874
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117355100
—
FL
Enumeration date
09/08/2021
Last updated
02/03/2025
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