Individual
DR. LUKE JOSEPH MACMENAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8401 SEASONS PKWY, WOODBURY, MN 55125-3414
(651) 738-2341
(651) 738-9048
Mailing address
8401 SEASONS PKWY, WOODBURY, MN 55125-3414
(651) 738-2341
(651) 738-9048
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D11556
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33797100
—
WI
Enumeration date
11/14/2006
Last updated
07/08/2007
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