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NPI Code Detail

MEDICARE: DR. LUKE ROBERT SALBERT MD

MEDICARE: DR. LUKE ROBERT SALBERT MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology Physician4301508839MI
22084E0001XEpilepsy Physician4301508839MI

General Provider Information

NPI Number : 1194383380
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LUKE ROBERT SALBERT MD
Provider Business Mailing Address
First Line : 100 MICHIGAN ST NE # MC845
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49503-2560
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 275 MICHIGAN ST NE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49503-2531
Country : US
Telephone Number : 616-267-7900
Fax Number : 616-267-7901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2019
Last Update Date : 02/20/2026

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Directions to “ DR. LUKE ROBERT SALBERT MD” Practice Location

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