Organization
LUKE CHIROPRACTIC & WELLNESS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG E. LUKE D.C. (CHIROPRACTOR)
(715) 392-2476
Entity
Organization
Contact information
Practice address
916 HAMMOND AVE STE 100, SUPERIOR, WI 54880-1770
(715) 392-2476
Mailing address
916 HAMMOND AVE STE 100, SUPERIOR, WI 54880-1770
(715) 392-2476
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000270440
MEDICARE ID
—
05
—
38894700
—
WI
Enumeration date
12/04/2009
Last updated
12/04/2009
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