Individual
DR. BLAKE MICHAEL LOUSCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2505 SE ENCOMPASS DRIVE, WAUKEE, IA 50263
(515) 201-3126
Mailing address
2505 SE ENCOMPASS DRIVE, WAUKEE, IA 50263
(515) 201-3126
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-09660
IA
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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