Healthcare Provider Details

I. General information

NPI: 1982633988
Provider Name (Legal Business Name): FRANCISCO ANTONIO LOSSIO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 09/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7320 N ALGER RD SUITE G
ALMA MI
48801-1072
US

IV. Provider business mailing address

7320 N ALGER RD SUITE G
ALMA MI
48801-1072
US

V. Phone/Fax

Practice location:
  • Phone: 989-463-2966
  • Fax: 989-463-5255
Mailing address:
  • Phone: 989-463-2966
  • Fax: 989-463-5255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301077134
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: