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Individual

ARCHIBALD J LOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-4990
(262) 245-2248
Mailing address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-4990
(262) 245-2248

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
POD-1302
MA
213E00000X
Podiatrist
Primary
1075-25
WI
213E00000X
Podiatrist
POD1302
MA

Other

Enumeration date
07/03/2013
Last updated
06/10/2016
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