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Deborah A Luetzow, MD
Adult Medicine Physician in Oak Creek, Wisconsin
NPI 1285688713

Deborah A Luetzow is an Adult Medicine Physician based in Oak Creek, WI and is specialized in Adult Medicine. Deborah A Luetzow practices in Oak Creek, WI and has the professional credentials of MD. The NPI Number for Deborah A Luetzow is 1285688713 and holds a License No. 29691 (Wisconsin).

The current practice location address for Deborah A Luetzow is 2413 W Rawson Ave, Oak Creek, WI and can be reached out via phone at 414-333-0064.

Location: 2413 W Rawson Ave, Oak Creek, WI, 53154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285688713
Provider Name
Deborah A Luetzow
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2413 W Rawson Ave, Oak Creek, WI, 53154
Phone Number
414-333-0064
Fax Number
Provider Enumeration Date
05/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
391703395015 01 WI BLUE CROSS BLUE SHIELD
31555700 05 WI
institution
Provider Business Practice Location Address Details
Address
2413 W Rawson Ave
City
Oak Creek
State
Wisconsin
Zip
53154-1323
Phone Number
414-333-0064
Fax Number
person
Provider Business Mailing Address Details
Address
2413 W Rawson Ave
City
Oak Creek
State
Wisconsin
Zip
53154-1323
Phone Number
414-333-0064
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
29691 (Wisconsin)
Definition
Definition to come.
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