Luedke, Dan William

Luedke, Dan William is an individual health care provider with primary practice located at 1475 Kisker Rd Suite 180, St Charles MO 63304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Luedke, Dan William can be contacted via phone (636) 442-7300.

Contact Information

Primary practice address
1475 Kisker Rd Suite 180 St Charles MO 63304
Phone: (636) 442-7300
Fax: (636) 442-7398
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X D8330 Texas
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X R8512 Missouri

Profile Details

NPI number 1669435244
LBN Legal business name Luedke, Dan William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Sep 10th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669435244 NPPES
Other 117860 HEALTHLINK
Other 21630 HEALTHLINK
Other 830001889 HEALTHLINK
MEDICAID 202356127 HEALTHLINK
Other 4037806 HEALTHLINK
Other 3600031 HEALTHLINK
Other 43616 HEALTHLINK

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