Organization
WILLIAM C LOOP MD PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM C LOOP MD (OWNER)
(989) 362-8628
Entity
Organization
Contact information
Practice address
1691 E US 23, STE 5, EAST TAWAS, MI 48730-9337
(989) 362-8628
Mailing address
3061 CHRISTY WAY, C/O PRO MED BILLING, SAGINAW, MI 48603-2267
(989) 791-2455
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
4301042646
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4619489
—
MI
Enumeration date
05/23/2006
Last updated
09/28/2007
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