Individual
MR. BRYAN KEITH LOSKORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
28400 CEDAR PARK BLVD, PERRYSBURG, OH 43551-4900
(419) 662-8915
Mailing address
28400 CEDAR PARK BLVD, PERRYSBURG, OH 43551-4900
(419) 662-8915
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
13982
OH
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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