Organization
RONALD LUETHKE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD WILLIAM LUETHKE M.D. (PRESIDENT)
(410) 964-8287
Entity
Organization
Contact information
Practice address
10710 CHARTER DR, SUITE 240, COLUMBIA, MD 21044-3128
(410) 964-8287
(410) 964-2761
Mailing address
10710 CHARTER DR, SUITE 240, COLUMBIA, MD 21044-3128
(410) 964-8287
(410) 964-2761
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
D0036862
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
531561100
—
MD
Enumeration date
01/30/2007
Last updated
12/03/2009
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