Individual
LUKE HARBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7200 WASHINGTON AVE STE 101, MOUNT PLEASANT, WI 53406-6516
(414) 939-5447
(262) 583-1769
Mailing address
7200 WASHINGTON AVE STE 101, MOUNT PLEASANT, WI 53406-6516
(414) 939-5447
(262) 583-1769
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3779-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982056768
—
WI
Enumeration date
07/06/2016
Last updated
09/10/2025
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