Individual
MARK S LUGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300 MARKET PTE DR STE 100, BLOOMINGTON, MN 55435-5435
(952) 835-9880
Mailing address
4300 MARKETPOINTE DR STE 100, BLOOMINGTON, MN 55435-5435
(952) 835-9880
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
45452
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45452
MEDICAL LICENSE
MN
05
—
6200002800
—
MN
Enumeration date
03/06/2006
Last updated
09/19/2024
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