Individual
DR. GERALD N LOOMUS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17550 W 12 MILE RD, STE AB, SOUTHFIELD, MI 48076-1909
(248) 557-3440
(248) 557-8505
Mailing address
17550 W 12 MILE RD, STE AB, SOUTHFIELD, MI 48076-1909
(248) 557-3440
(248) 557-8505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301022778
MI
Other
Enumeration date
10/26/2005
Last updated
07/08/2007
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