Luke John Gietzen
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Grand Forks, ND
NPI 1629944947 · NPPES record last updated Oct 14, 2025
Key facts
- NPI
- 1629944947
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 501 N Columbia Rd
Grand Forks, ND 58203-2817 - Phone
- (701) 777-2749
- NPI assigned
- Oct 14, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
501 N Columbia Rd
Grand Forks, ND 58203-2817
Mailing address
501 N Columbia Rd
Grand Forks, ND 58203-2817
Other providers in Grand Forks, ND
- Madan Maya Ghaley I
- Prem Bahadur Ghaley
- Menuka Ghalley
- Jack Gibbons
- Tammy J Gibbs
- Jalisa Giles
- Caitlin Gillespie
- Melissa Sarah Anne Gilmore
- Dadi Ram Giri
- Alison Gjesdal
All providers in Grand Forks, ND · Student in an Organized Health Care Education/Training Program in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.