Organization
MEGAN E. LOOBY, D.O. ,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN ELIZABETH LOOBY D.O. (OWNER)
(616) 942-2675
Entity
Organization
Contact information
Practice address
2540 WOODMEADOW DR SE, SUITE 102, GRAND RAPIDS, MI 49546-8050
(616) 942-2675
(616) 942-2596
Mailing address
PO BOX 71, CALEDONIA, MI 49316-0071
(616) 942-2675
(616) 942-2596
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4653800
—
MI
Enumeration date
10/09/2008
Last updated
10/13/2010
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