Individual
MRS. DEBORAH ANN LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2840 INDEX RD, FITCHBURG, WI 53713-3117
(608) 229-7221
(608) 229-7395
Mailing address
2840 INDEX RD, FITCHBURG, WI 53713-3117
(608) 229-7221
(608) 229-7395
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1039
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42973000
—
WI
Enumeration date
07/28/2006
Last updated
10/29/2008
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