Individual
DR. DAVID RICHARD LUELLWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3524 E MILWAUKEE ST, JANESVILLE, WI 53546-1626
(608) 756-7110
(608) 756-7106
Mailing address
3524 E MILWAUKEE ST, JANESVILLE, WI 53546-1626
(608) 756-7110
(608) 756-7106
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036110948
IL
207W00000X
Ophthalmology Physician
45377
WI
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
036110948
IL
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
45377
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43505100
—
WI
Enumeration date
09/22/2006
Last updated
04/06/2017
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