Individual
AUSTIN MITCHEL LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1174 W MICHIGAN AVE STE B, MARSHALL, MI 49068-1625
(269) 789-4390
Mailing address
3671 W E AVE, KALAMAZOO, MI 49009-6329
(269) 598-8540
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
MI
Other
Enumeration date
01/11/2022
Last updated
11/18/2022
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