Individual
MARK J LOUVIERE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
212 W DALE ST, WATERLOO, IA 50703-1951
(319) 235-3568
(319) 235-5013
Mailing address
212 W DALE ST, WATERLOO, IA 50703-1951
(319) 235-3568
(319) 235-5013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23556
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4023192
—
IA
Enumeration date
07/21/2005
Last updated
07/08/2007
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