| James E. Luetzow, D.d.s., S.c. | |
|
6011 Durand Ave Suite 200 Racine WI 53406-5060 | |
| (262) 554-5468 | |
| Not Available |
| Full Name | James E. Luetzow, D.d.s., S.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6011 Durand Ave, Racine, Wisconsin |
| Authorized Official Name and Position | James Ebner Luetzow (PRESIDENT) |
| Authorized Official Contact | 2625545468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James E. Luetzow, D.d.s., S.c. 6011 Durand Ave Suite 200 Racine WI 53406-5060 Ph: (262) 554-5468 | James E. Luetzow, D.d.s., S.c. 6011 Durand Ave Suite 200 Racine WI 53406-5060 Ph: (262) 554-5468 |
| NPI Number | 1609908219 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609908219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2387 (Wisconsin) | Primary |
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