Individual provider · NPI-1

Luke Benjamin Aeilts

Radiology, Diagnostic Radiology · Minneapolis, MN

NPI number1942888904
StatusActive
Last updated in NPPESOct 13, 2026

Details

NPI
1942888904
Entity type
Individual (NPI-1)
Name
Luke Benjamin Aeilts
Sex
Male
Sole proprietor
No
Enumeration date
Mar 31, 2021
Certification date
Oct 13, 2026
Last updated
Oct 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology83316MNYes
390200000X Student in an Organized Health Care Education/Training Program––
390200000X Student in an Organized Health Care Education/Training Program1942888904WI

Practice location

909 Fulton St Se
Minneapolis, MN 55455-4800

Phone 612-273-3000

Mailing address

909 Fulton St Se
Minneapolis, MN 55455-4800

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