Individual
MICHAEL P LUKELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CTR RECP B, ANN ARBOR, MI 48109-5352
(734) 936-5582
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301072439
MI
208000000X
Pediatrics Physician
4301072439
MI
208M00000X
Hospitalist Physician
4301072439
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4523735
—
MI
Enumeration date
10/16/2006
Last updated
11/19/2019
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