Individual
KARL J LUKETIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3915 SUNFOREST CT, TOLEDO, OH 43623-4453
(419) 450-3337
Mailing address
3118 STONEGATE DR, MAUMEE, OH 43537-9423
(419) 450-3337
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35064065
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000127263
ANTHEM
—
01
—
0005908039
AETNA
—
05
—
0161435
—
OH
01
—
03297
PARAMOUNT
—
01
—
1451754
UNITED HEALTHCARE
—
01
—
180035529
RAILROAD MEDICARE
OH
Enumeration date
06/14/2005
Last updated
04/14/2015
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