Individual
MIKHAEL R LOOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-4015
(402) 559-8715
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-4015
(402) 559-8715
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1208
NE
Other
Enumeration date
05/08/2006
Last updated
06/23/2011
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