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NPI Code Detail

MEDICARE: DR. MICHAEL LUDWIG LUKSCHU M.D.

MEDICARE: DR. MICHAEL LUDWIG LUKSCHU M.D.
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
1208000000XPediatrics PhysicianG86271CA

General Provider Information

NPI Number : 1205839974
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL LUDWIG LUKSCHU M.D.
Provider Business Mailing Address
First Line : 75036 GERALD FORD DR
Second Line :
City : PALM DESERT
State : CA
Zip : 92211-2080
Country : US
Telephone Number : 180-098-4748
Fax Number :
Provider Business Practice Location Address
First Line : 75036 GERALD FORD DR
Second Line :
City : PALM DESERT
State : CA
Zip : 92211-2080
Country : US
Telephone Number : 180-098-4748
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 11/29/2021

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