Individual
LOWELL VOMHOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
N10561 GRANDVIEW LN, IRONWOOD, MI 49938-9622
(906) 932-2525
Mailing address
N10561 GRANDVIEW LN, IRONWOOD, MI 49938-9622
(906) 932-2525
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704236242
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44305600
—
WI
05
—
4449905
—
MI
Enumeration date
07/18/2006
Last updated
07/09/2007
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