IndividualActive
Allan Luistro, M.D.
NPI 1073648259 · Family Medicine Physician · Moorhead, MN
Provider details
- NPI number
- 1073648259
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 37656 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1104 7th Ave S.
Box 92 Msum Hendrix Clinic & Counseling Center
Moorhead, MN 56563
Phone: (218) 477-2211
Fax: (218) 477-5867
Approximate (ZIP-level) locationGet directions
Mailing address
5027 Rose Creek Pkwy S
Fargo, ND 58104-6848
Registry dates
- Enumerated
- 2007-02-21
- Last updated
- 2012-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.