Individual
MEGAN E LOOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
245 CHERRY ST SE, STE 306, GRAND RAPIDS, MI 49503-4607
(616) 685-8750
Mailing address
1870 SILVER SPUR RD, CHEYENNE, WY 82009-1204
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101014702
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4653800-11
—
MI
Enumeration date
06/28/2006
Last updated
08/24/2017
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