Individual
DR. GERALD P LOUSHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12000 ELM CREEK BLVD N STE 100, MAPLE GROVE, MN 55369-7074
(763) 416-7600
(763) 416-7634
Mailing address
8401 GOLDEN VALLEY RD STE 330, GOLDEN VALLEY, MN 55427-4488
(763) 416-7629
(763) 383-4147
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
40569
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808816100
—
MN
Enumeration date
01/02/2006
Last updated
03/17/2020
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