Individual provider · Type 1 NPI
Marshall Eli Lutske, MD
Vascular Surgery Physician · Snellville, GA
NPI number
1083931406
Active
Practice location
1700 Medical Way
Snellville, GA 30078-2195
Mailing address
1718 Peachtree St NW Ste 360
Atlanta, GA 30309-7038
Other practice locations
- 1718 Peachtree St NW Ste 360, Atlanta, GA 30309-7038 · (404) 350-9505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | 78378 (GA) |
| Vascular Surgery Physician Primary | 2086S0129X | 78378 (GA) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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About NPI 1083931406
Marshall Eli Lutske, MD's National Provider Identifier is 1083931406, issued on Apr 25, 2010. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Snellville, GA. The record was last updated on Mar 30, 2022.