| NPI | 1710024716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD WILLIAM LUETHKE President 410-964-8287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MD D0036862) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2009-12-03 |