Individual
LUKE FITZGERALD MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10315 DAWSONS CREEK BLVD STE AB, FORT WAYNE, IN 46825-1912
(260) 436-7875
Mailing address
PO BOX 639846, CINCINNATI, OH 45263-9846
(260) 436-7875
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01086293A
IN
207L00000X
Anesthesiology Physician
U4572
TX
Other
Enumeration date
03/26/2015
Last updated
10/24/2023
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