Individual
IAN CHARLES LUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 HURLEY PLZ, 7B, FLINT, MI 48503-5902
(810) 262-9355
(810) 262-6341
Mailing address
1 HURLEY PLZ, ATTN: PROFESSIONAL BILLING DEPT, FLINT, MI 48503-5902
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007997
MI
Other
Enumeration date
10/19/2016
Last updated
10/27/2016
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