Individual
GERALD R LOEWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LP
Contact information
Practice address
4123 E LAKE ST, MINNEAPOLIS, MN 55406-2255
(612) 729-0340
Mailing address
3125 3RD AVE S, MINNEAPOLIS, MN 55408-3223
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3340
MN
Other
Enumeration date
12/29/2006
Last updated
09/05/2007
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