Individual
DR. MARIO LUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8701 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(414) 456-4575
Mailing address
1040 N CASS ST UNIT 906, MILWAUKEE, WI 53202-3391
(414) 243-0342
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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