Individual
MARTIN LUCHTEFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4100 LAKE DR SE, S-205, GRAND RAPIDS, MI 49546-8292
(616) 356-4100
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
4301051739
MI
Other
Enumeration date
06/08/2006
Last updated
02/25/2021
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