Individual
MARVIN LOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1505 EASTLAND DR, LL1400, BLOOMINGTON, IL 61701-3534
(309) 663-4700
(309) 665-0575
Mailing address
1505 EASTLAND DR, LL1400, BLOOMINGTON, IL 61701-3534
(309) 663-4700
(309) 665-0575
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041 136213
IL
Other
Enumeration date
12/21/2005
Last updated
11/16/2011
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