IndividualActive
Martin Luchtefeld, MD
NPI 1124069703 · Colon & Rectal Surgery Physician · Grand Rapids, MI
Provider details
- NPI number
- 1124069703
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301051739 (MI)
Practice location
4100 Lake Dr Se
S-205
Grand Rapids, MI 49546-8292
Phone: (616) 356-4100
Mailing address
100 Michigan St Ne
Grand Rapids, MI 49503-2560
Registry dates
- Enumerated
- 2006-06-08
- Last updated
- 2021-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.