Individual
JOEL LUESKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7400 BARLITE BLVD, SPALDING REGIONAL MEDICAL CENTER, SAN ANTONIO, TX 78224-1308
(919) 403-2028
Mailing address
N2003 BAY DE NOC DR, MENOMINEE, MI 49858
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
03533
TX
Other
Enumeration date
10/18/2005
Last updated
09/16/2011
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