Most Relevant Information
Provider Data
| NPI Number: | 1003676263 |
| Provider Name: | LUKE FUNK |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 11416 |
Most Important Dates
| Enumeration Date: | 03/22/2024 |
| Last Updated: | 03/22/2024 |
Provider Practice Location
411 FRONT ST
BRAINERD
MN
564013516
Practice Location Phone/Fax
| Phone: | 2183272001 |
| Fax: |
Provider Mailing Location
411 FRONT ST
BRAINERD
MN
564013516
Provider Mailing Phone/Fax
| Phone: | 2183272001 |
| Fax: |