Individual
DR. JOHN P LOES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3883 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2518
(763) 421-2273
(763) 421-2236
Mailing address
14569 WACO ST NW, RAMSEY, MN 55303-6181
(763) 421-7988
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30144
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30144
STATE LICENSE
MN
Enumeration date
06/26/2007
Last updated
07/08/2007
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