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Individual

DAVID LOEFFLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
6111 EXECUTIVE BLVD, ROCKVILLE, MD 20852-3911

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
H0092565
MD
390200000X
Student in an Organized Health Care Education/Training Program
L146135603313
MI

Other

Enumeration date
03/30/2015
Last updated
11/02/2021
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