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Individual

DR. MICHAEL GEORGE LOUDIN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3100 SAN PABLO AVE # 420, BERKELEY, CA 94702-2498
(510) 985-5020
(510) 985-5282
Mailing address
1450 TREAT BLVD STE 300, WALNUT CREEK, CA 94597-2168
(925) 952-2828

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A159541
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A159541
MEDICAL STATE LICENSE
CA
Enumeration date
04/08/2013
Last updated
03/07/2023
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