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Dr. Luke David Widstrom, DO
Sports Medicine (Family Medicine) Physician in Duluth, Minnesota
NPI 1366886053

Luke David Widstrom is a Sports Medicine (Family Medicine) Physician based in Duluth, MN and is specialized in Sports Medicine. Luke David Widstrom practices in Duluth, MN and has the professional credentials of DO. The NPI Number for Luke David Widstrom is 1366886053 and holds a License No. TL.0006261 (Minnesota).

The current practice location address for Luke David Widstrom is 400 East Third Street, Duluth, MN and can be reached out via phone at 218-786-8364.

Location: 400 East Third Street, Duluth, MN, 55805-1951
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366886053
Provider Name
Luke David Widstrom
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
400 East Third Street, Duluth, MN, 55805-1951
Phone Number
218-786-8364
Fax Number
Provider Enumeration Date
04/24/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
400 East Third Street
City
Duluth
State
Minnesota
Zip
55805-1951
Phone Number
218-786-8364
Fax Number
person
Provider Business Mailing Address Details
Address
400 East Third Street
City
Duluth
State
Minnesota
Zip
55805-1951
Phone Number
218-786-8364
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Sports Medicine
Taxonomy
207QS0010X
License No.
58494 (Minnesota)
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
TL.0006261 (Colorado)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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