Individual
JOSEPH P LOSELLE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
32100 TELEGRAPH RD STE 205, BINGHAM FARMS, MI 48025-2454
(248) 712-4166
Mailing address
1501 17TH ST, WYANDOTTE, MI 48192-3346
(734) 552-4263
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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