Individual
MR. TODD DANIEL LOUTZENHEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
990 SYLVAN WAY, BREMERTON, WA 98310-2851
(360) 479-3657
(360) 373-7616
Mailing address
990 SYLVAN WAY, BREMERTON, WA 98310-2851
(360) 479-3657
(360) 373-7616
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00042662
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013194010
GROUP HEALTH COOPERATIVE
WA
01
—
0174829
LABOR AND INDUSTRIES
WA
01
—
192575000
OWCP
WA
05
—
8372112
—
WA
01
—
911577098
UNIFORM MEDICAL PLAN
WA
01
—
911577098-15
KITSAP PHYSICIANS SERVICE
WA
01
—
LO7098
REGENCE
WA
Enumeration date
12/12/2006
Last updated
01/21/2009
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