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Individual

LUKAS GLADSTONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
265 GRIFFIN ST E, AMERY, WI 54001-1439
(715) 268-8000
Mailing address
1 AKRON GENERAL AVE, AKRON, OH 44307-2432
(330) 344-6000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
65729
MN
207P00000X
Emergency Medicine Physician
Primary
71382-21
WI

Other

Enumeration date
04/07/2016
Last updated
07/18/2019
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