| Doctor Name: | DR. LUTFI T TOMBULOGLU |
| NPI Number: | 1265539464 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 17161020 |
| Business Practice Address: | 4325 S 60th St Greenfield, WI - 53220 |
| Business Phone Number: | 4145455500 |
| Business Fax Number: | 4145455500 |
| Mailing Address: | 4325 S 60th St, GREENFIELD |
| State: | WI |
| Postal Code: | 53220 |
| Phone Number: | 4145455500 |
| Fax Number: | 4145455335 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 11/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 17161020 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |