Organization
G & G ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY PRUETZEL (MANAGER)
(618) 205-8304
Entity
Organization
Contact information
Practice address
2023 VADALABENE DR STE 350, MARYVILLE, IL 62062-5637
(618) 205-8302
Mailing address
2023 VADALABENE DR STE 350, MARYVILLE, IL 62062-5637
(618) 205-8302
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209007445
IL
Other
Enumeration date
08/17/2015
Last updated
02/27/2026
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