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1013279967
CRAIG ALAN LUETKEMEYER
JEFFERSON CITY, MO
NPI
1013279967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2012016483)
Enumeration Date
2012-06-15
Last Update Date
2016-02-11
Business Address
-- CRAIG ALAN LUETKEMEYER M.D.
1014 MADISON ST
JEFFERSON CITY, MO 65101-3458
Phone number: 573-644-6999
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Mailing Address
-- CRAIG ALAN LUETKEMEYER M.D.
1014 MADISON ST
JEFFERSON CITY, MO 65101-3458
Phone number: 573-644-6999
Copy
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