Individual
MR. JAY E LOEPPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
301 BECKER AVE SW, WILLMAR, MN 56201-3302
(320) 231-4120
Mailing address
1605 HANSEN DR SW, WILLMAR, MN 56201-2888
(320) 231-2764
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R093863-5
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R093863-5
R.N.
MI
Enumeration date
11/06/2006
Last updated
03/28/2023
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