Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 08953 | IA |
NPI | 1023268836 |
---|---|
Provider Name | Dr. Luke Joseph Hamann |
First Address | Dubuque, IA 52001-6666 |
Second Address | Dubuque, IA 52001-6666 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2008 |
Last Update Date | 15/12/2016 |