Widstrom, Luke David

Widstrom, Luke David is an individual health care provider with primary practice located at 400 East Third Street Essentia Health Duluth Clinic, Duluth MN 55805-1951. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Widstrom, Luke David can be contacted via phone (218) 786-8364.

Contact Information

Primary practice address
400 East Third Street Essentia Health Duluth Clinic Duluth MN 55805-1951
Phone: (218) 786-8364
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TL.0006261 Colorado
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 58494 Minnesota

Profile Details

NPI number 1366886053
LBN Legal business name Widstrom, Luke David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2013
Last updated May 3rd, 2018 - about 7 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.

Request for update

Popular Providers