Individual
LUKE GANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4053 GROVE PARK CIR, BIRMINGHAM, AL 35242-2478
(205) 317-1104
Mailing address
4053 GROVE PARK CIR, BIRMINGHAM, AL 35242-2478
(205) 317-1104
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
—
AL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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