Individual
LOREN J MOUW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
(319) 221-8570
(319) 221-8575
Mailing address
PO BOX 668, CEDAR RAPIDS, IA 52406-0668
(319) 221-8570
(319) 221-8575
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
28419
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077420
—
IA
Enumeration date
06/09/2005
Last updated
10/20/2009
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