Individual
LUKE W FORTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
436 SUNRISE DR, SPRING GREEN, WI 53588-9286
(608) 588-2502
Mailing address
436 SUNRISE DR, SPRING GREEN, WI 53588-9286
(608) 588-2502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47249
WI
Other
Enumeration date
03/14/2006
Last updated
03/24/2021
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