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Individual

DR. MARSHALL ELI LUTSKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
(770) 979-0200
Mailing address
1718 PEACHTREE ST NW STE 360, ATLANTA, GA 30309-7038
(404) 350-9505

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
78378
GA
2086S0129X
Vascular Surgery Physician
Primary
78378
GA

Other

Enumeration date
04/25/2010
Last updated
03/30/2022
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