Individual
DR. BRAD MICHAEL LUECKHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNAP
Contact information
Practice address
4000 WELLNESS DR, MIDLAND, MI 48670-1000
(989) 839-3000
Mailing address
805 W AMELIA AVE, PHOENIX, AZ 85013-3318
(586) 596-5376
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704307648
MI
367500000X
Certified Registered Nurse Anesthetist
RN194632
AZ
Other
Enumeration date
10/11/2024
Last updated
04/13/2026
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