Provider Demographics
NPI:1699225086
Name:LUTER, CHRISTIAN (MA)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:LUTER
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 N MICHIGAN AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-4751
Mailing Address - Country:US
Mailing Address - Phone:989-401-9015
Mailing Address - Fax:989-401-9018
Practice Address - Street 1:1320 N MICHIGAN AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-4751
Practice Address - Country:US
Practice Address - Phone:989-401-9015
Practice Address - Fax:989-401-9018
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator