Individual
MICHAEL D LOEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
22D MEDICAL GROUP, 57950 LEAVENWORTH ST, MCCONNELL AFB, KS 67221-3506
(316) 759-5181
(316) 759-6277
Mailing address
22D MEDICAL GROUP, 57950 LEAVENWORTH ST, MCCONNELL AFB, KS 67221-3506
(316) 759-5181
(316) 759-6277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
09144
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/24/2014
Last updated
04/26/2018
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