Individual
DR. MICHAEL R LUCKENBILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 323-8121
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11592
ND
207R00000X
Internal Medicine Physician
46495
WI
207R00000X
Internal Medicine Physician
49181
MN
208M00000X
Hospitalist Physician
11592
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34542100
—
WI
Enumeration date
09/23/2006
Last updated
06/08/2025
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