Individual
LUKE EASTBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5800 FOREMOST DR SE STE 200, GRAND RAPIDS, MI 49546-7062
(616) 389-1800
Mailing address
5800 FOREMOST DR SE STE 200, GRAND RAPIDS, MI 49546-7062
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
301369
NY
207RH0000X
Hematology (Internal Medicine) Physician
Primary
4301511990
MI
208000000X
Pediatrics Physician
301369
NY
Other
Enumeration date
05/10/2016
Last updated
07/01/2024
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