Individual
DR. LUKE STEPHEN ERNSTBERGER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
221 N CELIA AVE, MUNCIE, IN 47303-4609
(765) 747-4454
Mailing address
9428 HADDINGTON DR W, INDIANAPOLIS, IN 46256-1147
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11016178A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201095550
—
IN
01
—
P01378362
RAIL ROAD MEDICARE PIN
IN
Enumeration date
06/14/2011
Last updated
08/03/2015
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