Individual
LUKE EDWIN BRACKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1233 E 2ND ST, CASPER, WY 82601-2926
(207) 577-7201
Mailing address
5234 CHENEY LOOP, CASPER, WY 82609-3391
(205) 585-6498
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5796
AZ
207L00000X
Anesthesiology Physician
8976A
WY
Other
Enumeration date
12/01/2008
Last updated
09/20/2024
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