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Individual

GREGORY R LOCHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0800072
UNITED HEALTHCARE
WI
01
103431
HEALTH ALLIANCE
WI
01
30125200
MANAGED HEALTH SERVICES
WI
05
30125200
WI
01
4016335
AETNA
WI
01
747042
MOHAWK
WI
01
822601
VIPA
WI
Enumeration date
05/01/2006
Last updated
09/18/2007
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