Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Paul A Mailloux, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1720172414

Paul A Mailloux, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Mount Clemens, Michigan. Qualified in 2005, 21 years ago. Practices with Long Lake Anesthesiology Consultants PLC, a 92-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
21
Licensed in
MI
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1000 Harrington Blvd
Mount Clemens, MI 48043
Phone: (586) 493-8747
Fax: (586) 493-8741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704197640 (MI)

Record details

NPI number1720172414
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Long Lake Anesthesiology Consultants Plc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mount Clemens