Dr. Luke Thomas Mike, DO
Student in an Organized Health Care Education/Training Program in Fargo, ND. Individual provider (NPI-1).
NPI number1437726304
StatusActive
Last updated in NPPESOct 10, 2023
Details
- NPI
- 1437726304
- Entity type
- Individual (NPI-1)
- Name
- Dr. Luke Thomas Mike
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 8, 2021
- Certification date
- Oct 10, 2023
- Last updated
- Oct 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | RL17462 | ND |
Practice location
1919 Elm St NFargo, ND 58102-2416
Phone 701-293-4113
Mailing address
1919 Elm St NFargo, ND 58102-2416
Phone 701-293-4113
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