Most Relevant Information
Provider Data
| NPI Number: | 1003382284 |
| Provider Name: | MAGGIE LOWENHAR |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/16/2018 |
| Last Updated: | 10/16/2018 |
Provider Practice Location
1025 E 7TH ST
BLOOMINGTON
IN
474057109
Practice Location Phone/Fax
| Phone: | 5743449600 |
| Fax: |
Provider Mailing Location
61550 BROMPTON RD
SOUTH BEND
IN
466146438
Provider Mailing Phone/Fax
| Phone: | 1574231003 |
| Fax: |