NPI | 1457632309 |
---|---|
Doing Business As | MARK G LOOMUS MD |
Entity Type | Organization |
Authorized Contact | AMY L BAHNSEN Credentialing Supervisor 419-824-7334 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
Enumeration Date | 2011-09-06 |
Last Update Date | 2011-09-06 |