Individual
LUKE J TREMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2701 E ENTERPRISE AVE, APPLETON, WI 54913-7729
(920) 954-2551
(920) 954-2554
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3200
(920) 738-5787
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
42501
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34174500
—
WI
Enumeration date
02/28/2007
Last updated
11/07/2011
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