Individual
DR. DAVID A LOITERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
036-068602
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020026349
MEDICARE RAILROAD
—
01
—
022-01663
BLUE CROSS BLUE SHIELD
IL
05
—
036068602
—
IL
Enumeration date
06/24/2006
Last updated
07/19/2011
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