Individual
DR. GIRISH LUTHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
1200 SIXTH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303-2735
(320) 252-5131
(603) 354-5469
Mailing address
1200 SIXTH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303-2735
(320) 252-5131
(603) 354-5469
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
106406
MN
208600000X
Surgery Physician
11668
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009114
—
VT
05
—
30103181
—
NH
Enumeration date
08/30/2006
Last updated
09/11/2012
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