Michael Scott Lohse

NPI #1902068463 in Sparta, Wisconsin

Provider Information

NPI Number: 1902068463
Entity Type: Individual
Name: Michael Scott Lohse
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Jun 26, 2008
Last Updated: Jun 26, 2008

Practice Location

Address: 501 W WISCONSIN ST
City: Sparta
State: Wisconsin
ZIP Code: 54656-2332
Phone: (608) 269-0555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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