Individual
BRENT S. LOTTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2611 ELECTRIC AVE, SUITE E, PORT HURON, MI 48060-6587
(810) 987-9871
Mailing address
2611 ELECTRIC AVE, SUITE E, PORT HURON, MI 48060-6587
(810) 987-9871
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005146
MI
Other
Enumeration date
09/11/2007
Last updated
01/07/2009
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