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Individual

ANDREW LOOSVELT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
215 NORTH AVE, MOUNT CLEMENS, MI 48043-1716
(586) 466-9300
Mailing address
215 NORTH AVE, MOUNT CLEMENS, MI 48043-1716
(586) 466-9300

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704279581
MI

Other

Enumeration date
09/22/2015
Last updated
03/14/2017
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