Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 4301084012 | MI |
NPI | 1033326822 |
---|---|
Provider Name | Dr. Luke Christopher Craig Saski |
First Address | Detroit, MI 48201-2153 |
Second Address | Detroit, MI 48201-2018 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 05/12/2008 |