Individual
DR. GARY A. LOISELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
28925 7 MILE RD, LIVONIA, MI 48152-3503
(248) 474-0800
(248) 474-0800
Mailing address
28925 7 MILE RD, LIVONIA, MI 48152-3503
(248) 474-0800
(248) 474-0800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004943
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0Q25117
BC/BS
MI
01
—
11282193
CAQH
MI
05
—
1749390
—
MI
Enumeration date
07/26/2005
Last updated
07/09/2007
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