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NPI Code Detail

MEDICARE: LUKE DAVID ALTSTIEL

MEDICARE: LUKE DAVID ALTSTIEL
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
1363LP2300XPrimary Care Nurse Practitioner200843SD

General Provider Information

NPI Number : 1588597298
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUKE DAVID ALTSTIEL
Provider Business Mailing Address
First Line : 2140 JUNCTION AVE
Second Line :
City : STURGIS
State : SD
Zip : 57785-2358
Country : US
Telephone Number : 605-720-2600
Fax Number :
Provider Business Practice Location Address
First Line : 2140 JUNCTION AVE
Second Line :
City : STURGIS
State : SD
Zip : 57785-2358
Country : US
Telephone Number : 605-720-2600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “ LUKE DAVID ALTSTIEL ” Practice Location

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