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Individual

BENJAMIN LOEWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
821 E 18TH ST, CHEYENNE, WY 82001-4775
(307) 777-7911
Mailing address
821 E 18TH ST, CHEYENNE, WY 82001-4775
(307) 777-7911

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
226-T2
WY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/15/2023
Last updated
07/26/2024
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