DR. Allan James Luistro, M.D.

NPI #1073648259 in Moorhead, Minnesota

Provider Information

NPI Number: 1073648259
Entity Type: Individual
Name: DR. Allan James Luistro, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Feb 21, 2007
Last Updated: Feb 22, 2012

Practice Location

Address: 1104 7TH AVE S.
Address 2: BOX 92 MSUM HENDRIX CLINIC & COUNSELING CENTER
City: Moorhead
State: Minnesota
ZIP Code: 56563
Phone: (218) 477-2211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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