Individual
LUKE ALFRED WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
615 N MICHIGAN ST 1ST FL HOSPITALIST STE, SOUTH BEND, IN 46601-1033
(574) 647-6225
(574) 647-1094
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02003645A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
02003645A
IN
207RP1001X
Pulmonary Disease Physician
02003645A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200978270
—
IN
Enumeration date
02/12/2010
Last updated
02/20/2024
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