Individual
TIFFANY LUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 CANNERY ST, MARSHFIELD CLINIC GREENWOOD CENTER, GREENWOOD, WI 54437-9705
(715) 267-6600
(715) 267-6917
Mailing address
102 CANNERY ST, MARSHFIELD CLINIC GREENWOOD CENTER, GREENWOOD, WI 54437-9705
(715) 267-6600
(715) 267-6917
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3988
WI
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/05/2016
Last updated
12/21/2021
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