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Individual

DR. MICHAEL G LOUSCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3202 1ST ST, EMMETSBURG, IA 50536-2515
(712) 852-2054
(712) 852-2729
Mailing address
3202 1ST ST, PO BOX 72, EMMETSBURG, IA 50536-2515
(712) 852-2054
(712) 852-2729

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
05703
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2066647
IA
05
3066647
IA
Enumeration date
02/25/2007
Last updated
02/21/2012
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