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Contact Information

DONALD C LUTZ, DPM
4091 W VIENNA RD
CLIO, MI48420
 Phone: 810-687-7350
 Fax: 810-687-7360
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DONALD C LUTZ · (Male)

NPI # 1093766370
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/12/2006
Last updated 06/02/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # DL000819
  • MI Medicaid 198382013
  • MI Other 485255568 BLUE CROSS BLUE SHIELD
  • MI Other 4L5255568 HEALTHPLUS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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