Organization
JOHN L LOEWEN MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LLOYD LOEWEN MD (PRESIDENT)
(715) 251-3104
Entity
Organization
Contact information
Practice address
615 WASHINGTON AVE, NIAGARA, WI 54151-1213
(715) 251-3104
(715) 251-1693
Mailing address
615 WASHINGTON AVE, NIAGARA, WI 54151-1213
(715) 251-3104
(715) 251-1693
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20876 020
WI
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
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