Individual
DR. LUKE A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3433 BROADWAY ST NE STE 115, MINNEAPOLIS, MN 55413-1759
(512) 785-0621
Mailing address
2015 S DOUGLAS ST, SALT LAKE CITY, UT 84105-3607
(512) 785-0621
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
65217
MN
208600000X
Surgery Physician
Primary
8791046-1205
UT
208C00000X
Colon & Rectal Surgery Physician
65217
MN
208C00000X
Colon & Rectal Surgery Physician
8791046-1205
UT
Other
Enumeration date
04/04/2012
Last updated
11/23/2021
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