Individual
DONALD CHRIST LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4091 W VIENNA RD, CLIO, MI 48420
(810) 687-7350
(810) 687-7360
Mailing address
4091 W VIENNA RD, CLIO, MI 48420-9437
(810) 687-7350
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DL000819
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198382013
—
MI
01
—
485255568
BLUE CROSS BLUE SHIELD
MI
01
—
4L5255568
HEALTHPLUS
MI
Enumeration date
05/12/2006
Last updated
06/02/2008
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