Individual
DR. STEPHEN LUKE GRUPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
49206
KY
207T00000X
Neurological Surgery Physician
Primary
S9137
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1K4394
MEDICARE
TX
05
—
40209512
—
NM
05
—
7100245890
—
KY
Enumeration date
05/12/2009
Last updated
01/20/2022
Update your record
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