| John D Luck, MD | |
| 
					5401 Old Court Rd Dept Of, Randallstown, MD 21133-5103  | |
| (410) 521-2200 | |
| (410) 496-7530 | 
| Full Name | John D Luck | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 5401 Old Court Rd Dept Of, Randallstown, Maryland | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619332475 | NPI | - | NPPES | 
| Entity Name | St Paul Place Specialists Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1871549196 PECOS PAC ID: 7719882943 Enrollment ID: O20031202000084  | 
| Entity Name | Northwest Hospital Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1508961988 PECOS PAC ID: 6204739352 Enrollment ID: O20040128000328  | 
| Mailing Address | Practice Location Address | 
|---|---|
| John D Luck, MD 303 E Nicollet Blvd, Suite 330, Burnsville, MN 55337 Ph: (952) 435-0177  | John D Luck, MD 5401 Old Court Rd Dept Of, Randallstown, MD 21133-5103 Ph: (410) 521-2200  | 
Brianne Elizabeth Leaf, PA-C Surgery Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200  | |
Dr. Varughese Kuruvilla, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5400 Old Court Rd, Suite 208, Randallstown, MD 21133 Phone: 410-561-0737  | |
Dr. Olubode Olufajo,  Surgery Medicare: Not Enrolled in Medicare Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200  | |
Midori Pavielle Starks White, MD Surgery Medicare: Medicare Enrolled Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200  |