Individual
MISS MICHAEL R LOUDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3610 CAPITAL AVENUE SW, BATTLE CREEK, MI 49015
(269) 965-1339
(269) 965-2281
Mailing address
3610 CAPITAL AVENUE SW, BATTLE CREEK, MI 49015
(269) 965-1339
(269) 965-2281
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
14976
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2582361
—
MI
05
—
3020670
—
MI
Enumeration date
10/26/2006
Last updated
11/29/2007
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