Mark J Louviere
Family Doctor
212 W Dale St
Waterloo
, Iowa 50703-1951
Mark J Louviere
Family Doctor
212 W Dale St
Waterloo
, Iowa 50703-1951
(319) 235-5013
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Mark J Louviere
- 212 W Dale St
- Waterloo, IA
- Zip : 50703-1951
- Fax : (319) 235-5013
- Phone : (319) 235-3568
Second Address
- Mark J Louviere
- 212 W Dale St
- Waterloo, IA
- Zip : 50703-1951
- Fax : (319) 235-5013
- Phone : (319) 235-3568
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 23556 | IA |
National Provider Identifier
| NPI | 1003816984 |
|---|---|
| Provider Name | Mark J Louviere |
| First Address | Waterloo, IA 50703-1951 |
| Second Address | Waterloo, IA 50703-1951 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4023192 | (05) | IA |
| A02223 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.