Individual
JONATHAN LUETKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 N WALES RD, WALES, WI 53183-9728
(262) 968-9570
Mailing address
405 N WALES RD, WALES, WI 53183-9728
(262) 968-9570
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1665240
WI
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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