Organization
JOSEPH F. LOOBY, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH FRANCIS LOOBY D.O. (OWNER)
(616) 942-2675
Entity
Organization
Contact information
Practice address
2540 WOODMEADOW DR SE, SUITE 102, GRAND RAPIDS, MI 49546-8050
(616) 942-2675
(616) 942-2596
Mailing address
PO BOX 71, CALEDONIA, MI 49316-0071
(616) 942-2675
(616) 942-2596
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4653892
—
MI
Enumeration date
10/09/2008
Last updated
10/09/2008
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