Individual
ROSS GANUCHEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1810 LINDBERG DR STE 1100, SLIDELL, LA 70458-8158
(985) 646-0945
(985) 643-8510
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
328782
LA
Other
Enumeration date
04/16/2018
Last updated
05/18/2022
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