Individual
JARED LUTSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12000 E 12 MILE RD, WARREN, MI 48093-3570
(586) 759-7300
Mailing address
12000 E 12 MILE RD, WARREN, MI 48093-3570
(586) 759-7300
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5151017542APP25
MI
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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