GREGORY A LOUCK

FORT WAYNE, IN
NPI1730413220
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704258243)
Enumeration Date2009-09-30
Last Update Date2022-12-16
Business Address
GREGORY A LOUCK CRNA
5050 N CLINTON ST
FORT WAYNE, IN 46825-5886
Phone number: 260-484-8551
Mailing Address
GREGORY A LOUCK CRNA
5052 N CLINTON ST
FORT WAYNE, IN 46825-5822
Phone number: 260-408-2203
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