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Individual

MR. JOHN LLOYD LOEWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

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

Other identifiers
Code
Description
Identifier
Issuer
State
05
32240900
WI
05
4673320
MI
Enumeration date
01/10/2007
Last updated
07/08/2007
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