Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Luke David Widstrom, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366886053

Dr. Luke David Widstrom, DO is a Sports Medicine in Duluth, Minnesota. Qualified in 2013, 13 years ago. Practices with The Duluth Clinic Ltd, a 1,127-clinician group and accepts Medicare assignment. Licensed in Colorado and Minnesota.

Years since qualifying
13
Licensed in
CO, MN
In the registry since
2013
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

400 E Third Street Essentia Health Duluth Clinic
Duluth, MN 55805-1951
Phone: (218) 786-8364
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 58494 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence TL.0006261 (CO)

Record details

NPI number1366886053
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 24, 2013
Last updated in NPPESMay 3, 2018
Mailing address400 East Third Street, Essentia Health Duluth Clinic McL2cred, Duluth, MN 55805-1951

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice The Duluth Clinic Ltd — 1127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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