Individual
MRS. BROOKE LINDA LOEWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11137
MN
363A00000X
Physician Assistant
4461
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
607138
—
AZ
05
—
ENROLLED
—
MN
Enumeration date
09/02/2009
Last updated
12/18/2012
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