Individual
LUCAS HOLKUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 N COLUMBIA RD STOP 9037, UND DEPARTMENT OF SURGERY, GRAND FORKS, ND 58202-9037
(701) 777-3067
Mailing address
501 N COLUMBIA RD STOP 9037, UND DEPARTMENT OF SURGERY, GRAND FORKS, ND 58202-9037
(701) 777-3067
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
RL 14186
ND
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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