Doctor Name: | JOHN RODAN LOEDING |
NPI Number: | 1164497434 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 17144021 |
Business Practice Address: | 4140 Savage Hill Rd Se Sugar Grove, OH - 43155 |
Business Phone Number: | 7407469453 |
Business Fax Number: | |
Mailing Address: | 4140 Savage Hill Rd Se, SUGAR GROVE |
State: | OH |
Postal Code: | 43155 |
Phone Number: | 7407469453 |
Fax Number: | |
NPI Enumeration Date: | 02/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17144021 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |