| Larry D Stuckey, CRNA | |
|
205 N East Ave, Jackson, MI 49201-1753 | |
| (517) 205-7838 | |
| (517) 205-5903 |
| Full Name | Larry D Stuckey |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 205 N East Ave, Jackson, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467425306 | NPI | - | NPPES |
| 0758309 | Medicaid | OH | |
| 4704165719 | Other | MI | MI LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | COA.02581-NA (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 4704165719 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Larry D Stuckey, CRNA 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (313) 874-4806 | Larry D Stuckey, CRNA 205 N East Ave, Jackson, MI 49201-1753 Ph: (517) 205-7838 |
Joshua Booth, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-4800 | |
Mr. Steven John Dickerson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6700 S Jackson Rd, Jackson, MI 49201 Phone: 517-789-5481 Fax: 517-782-7926 | |
Mr. Michael Paul Haas, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4963 | |
Rocco Mascioli, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 744 W Michigan Ave, Jackson, MI 49201 Phone: 517-787-6440 Fax: 517-787-4146 | |
Meredith Meston, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4963 | |
Kara E. Bono, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 255 W Michigan Ave, Jackson, MI 49201 Phone: 800-516-5315 Fax: 517-787-7365 | |
Gavin Nathan Baker, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 255 W Michigan Ave, Jackson, MI 49201 Phone: 800-516-5315 Fax: 517-787-7365 |