Individual
DR. LUKE ROBERT PERRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 4TH AVE, GRINNELL, IA 50112-1898
(641) 236-2378
Mailing address
210 4TH AVE, GRINNELL, IA 50112-1898
(641) 236-2378
(641) 236-2099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35231
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I20940022
MEDICARE PTAN
IA
Enumeration date
01/06/2006
Last updated
11/01/2016
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