Individual
DR. CHRISTOPHER MICHAEL LOUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
118 W DREXEL PKWY, RENSSELAER, IN 47978-7344
(219) 866-4300
(219) 866-7591
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01064067A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200867910
—
IN
05
—
200867910A
—
IN
Enumeration date
01/31/2007
Last updated
05/18/2023
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