| Mr Edwin Intig Loon Jr, | |
|
4646 John R St, Detroit, MI 48201-1916 | |
| (313) 576-1000 | |
| Not Available |
| Full Name | Mr Edwin Intig Loon Jr |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 4646 John R St, Detroit, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003611633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703108591 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Edwin Intig Loon Jr, 2106 Almont St, Ferndale, MI 48220-1581 Ph: (248) 554-7106 | Mr Edwin Intig Loon Jr, 4646 John R St, Detroit, MI 48201-1916 Ph: (313) 576-1000 |
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Jeneisha Still, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 19474 Littlefield St, Detroit, MI 48235 Phone: 313-784-0809 | |
Courtnie Taylor, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 16805 Forrer St, Detroit, MI 48235 Phone: 248-881-1185 | |
Charlotte Washington, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 14336 Freeland St, Detroit, MI 48227 Phone: 313-623-0387 | |
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