NPI | 1073517843 |
---|---|
Other Name | JULIE LOSEKAMP |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0072856) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 38277) |
Enumeration Date | 2005-06-09 |
Last Update Date | 2024-11-08 |