Individual
MR. THEODORE ORVEN LOFTSGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, ACNP
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2091
MN
363L00000X
Nurse Practitioner
R 200182-9
MN
363LA2100X
Acute Care Nurse Practitioner
11642
OH
Other
Enumeration date
07/28/2010
Last updated
02/16/2021
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