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Individual

MR. PATRICK LOFTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
FROEDTERT HOSPITAL, 9200 WEST WISCONSIN AVENUE, MILWAUKEE, WI 53226
(414) 805-3666
Mailing address
9200 W WISCONSIN AVE, FROEDTERT HOSPITAL, MILWAUKEE, WI 53226-3522

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1247-023
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
009006261V
HUMANA
05
41934700
WI
Enumeration date
05/20/2006
Last updated
06/19/2008
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