Individual
LUKE H KUTRIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
321 E WARWICK DR, ALMA, MI 48801-1084
(989) 466-3332
(989) 466-6805
Mailing address
321 E WARWICK DR, ALMA, MI 48801-1084
(989) 466-3332
(989) 466-6805
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005326
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1152915200
BCBSM
MI
Enumeration date
08/19/2008
Last updated
10/04/2012
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