Ronald William Luethke in Bridgeport - Plastic And Reconstructive Surgery
Ronald William Luethke - NPI 1376518704
Ronald William Luethke is a Plastic And Reconstructive Surgery in Bridgeport, . Ronald William Luethke practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Ronald William Luethke is 1376518704. The last update date is 2022-04-05.
Ronald William Luethke's current location address is 527 Medical Park Dr Ste 400, Bridgeport, . You can contact this provider via phone number 6813423190 and fax number 6813423195. The mailing address for Ronald William Luethke is 527 Medical Park Dr Ste 400, Bridgeport, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronald William Luethke |
|---|---|
| Address | 527 Medical Park Dr Ste 400, Bridgeport, |
| Phone Number | 6813423190 |
| Fax Number | 6813423195 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1376518704 |
|---|---|
| Provider Enumeration Date | 2006-02-21 |
| Last Updated Date | 2022-04-05 |
Provider Mailing Address Detail
| Address | 527 Medical Park Dr Ste 400 |
|---|---|
| City | Bridgeport |
| State | (WV) |
| Post Code | 263309010 |
| Phone Number | 6813423190 |
| Fax Number | 6813423195 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | D36862 |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 531561100 | MD | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Ronald William Luethke by the Centers for Medicare & Medicaid Services?
The Ronald William Luethke has been issued the NPI (National Provider Identifier) 1376518704. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Ronald William Luethke?
The Ronald William Luethke is physically situated at 527 Medical Park Dr Ste 400, in the city of Bridgeport, state of WV, with the postal code 263309010.
What is the Ronald William Luethke's area of specialization and corresponding taxonomy classification?
The Ronald William Luethke's specialty field is Plastic And Reconstructive Surgery, and it falls under the taxonomy code 2086S0122X, which categorizes healthcare providers based on their specialties.
When did the Ronald William Luethke receive its 1376518704?
The Ronald William Luethke was issued its 1376518704 on 2006-02-21, which is the date when the organization was assigned this unique identifier.
When was the Ronald William Luethke's information last updated?
The Ronald William Luethke's information was last updated on 2022-04-05.