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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ALLAN JAMES LUISTRO, M.D.

Active Sole Proprietor

DR. ALLAN JAMES LUISTRO, M.D. is a Family Medicine healthcare provider located in MOORHEAD, Minnesota. NPI 1073648259 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MOORHEAD, MN

Registration Details

NPI Number
1073648259
Provider Type
Individual
Gender
Male
NPI Issued
Feb 21, 2007 (19.462368805464 yrs)
Last Updated
Feb 22, 2012
License
37656 (MN)
Sole Proprietor
Yes

Practice Information

Address
1104 7TH AVE S.
BOX 92 MSUM HENDRIX CLINIC & COUNSELING CENTER
MOORHEAD, MN, 56563
Browse MN providers · Browse ZIP 56563
Phone
2184772211
Fax
2184775867
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in MOORHEAD, MN

Name Credential NPI
DR. RODNEY JOHN LEE MD 1841299047
EMIL B STEINKE MD 1720018245
JERRY P ROGERS MD 1457381980
ROBERT D CAMPBELL MD 1013935758
STEVEN K GLUNBERG MD 1689692220
DR. ANDREA KAUFFMAN WESTBY M.D. 1992939177
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.