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1134996549
BRIAN J LUTEYN
HARTFORD, WI
NPI
1134996549
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 7793)
Enumeration Date
2023-12-06
Last Update Date
2024-08-02
Business Address
BRIAN J LUTEYN
1640 E SUMNER ST
HARTFORD, WI 53027-2684
Phone number: 262-670-4000
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Mailing Address
BRIAN J LUTEYN
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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