MR. Edwin Intig Loon JR.

NPI #1003611633 in Detroit, Michigan

Provider Information

NPI Number
1003611633
Entity Type
Individual
Name
MR. Edwin Intig Loon JR.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Feb 18, 2025
Last Updated
Feb 18, 2025

Practice Location

Address
4646 JOHN R ST
ZIP Code
48201-1916
Phone
(313) 576-1000

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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