Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 036151858 | IL |
N | 208600000X | Surgeon | 036151858 | IL |
N | 208200000X | Surgeon | 4301105819 | MI |
N | 208600000X | Surgeon | 4301105819 | MI |
Y | 208200000X | Surgeon | 74949 | WI |
Y | 208600000X | Surgeon | 74949 | WI |
N | 2086X0206X | Surgical Oncologist | 4301105819 | IL |
NPI | 1407269111 |
---|---|
Provider Name | Dr. Natalie Luehmann |
First Address | Green Bay, WI 54324-0900 |
Second Address | Green Bay, WI 54311-6519 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2014 |
Last Update Date | 01/09/2021 |