Martin Luchtefeld in Grand Rapids - Colon & Rectal Surgery
Martin Luchtefeld - NPI 1124069703
Martin Luchtefeld is a Colon & Rectal Surgery in Grand Rapids, Michigan. Martin Luchtefeld practices all healthcare services and medical treatments related to Colon & Rectal Surgery. The NPI Number for Martin Luchtefeld is 1124069703. The last update date is 2021-02-25.
Martin Luchtefeld's current location address is 4100 Lake Dr Se, Grand Rapids, Michigan. You can contact this provider via phone number 6163564100. The mailing address for Martin Luchtefeld is 4100 Lake Dr Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martin Luchtefeld |
|---|---|
| Address | 4100 Lake Dr Se, Grand Rapids, Michigan |
| Phone Number | 6163564100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124069703 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2021-02-25 |
Provider Mailing Address Detail
| Address | 4100 Lake Dr Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495468292 |
| Phone Number | 6163564100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Colon & Rectal Surgery |
|---|---|
| Taxonomy | 208C00000X |
| Licence No | 4301051739 |
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Definition: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liv |
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What is the unique identifier code issued to Martin Luchtefeld by the Centers for Medicare & Medicaid Services?
The Martin Luchtefeld has been assigned the NPI (National Provider Identifier) 1124069703. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Martin Luchtefeld is physically located?
The Martin Luchtefeld is physically situated at the following address: 4100 Lake Dr Se, Grand Rapids, MI, 495468292.
What is Martin Luchtefeld's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Martin Luchtefeld is Colon & Rectal Surgery, and the corresponding taxonomy classification code for this specialized field is 208C00000X.
On what date did Martin Luchtefeld receive its 1124069703 assignment from the Centers for Medicare & Medicaid Services?
The Martin Luchtefeld was assigned its 1124069703 on 2006-06-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Martin Luchtefeld most recently updated or revised?
The details related to Martin Luchtefeld, including its address, specialty, and other relevant information, were last updated or revised on 2021-02-25.
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