MEDICARE: CYNTHIA M LOEFFLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	MD18927	DC

General Provider Information

NPI Number	:	1760413314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA M LOEFFLER MD

Provider Business Mailing Address
First Line	:	2000 PLYMOUTH RD
Second Line	:
City	:	HOPKINS
State	:	MN
Zip	:	55305-2366
Country	:	US
Telephone Number	:	952-593-9818
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 PLYMOUTH RD
Second Line	:
City	:	HOPKINS
State	:	MN
Zip	:	55305-2366
Country	:	US
Telephone Number	:	952-593-9818
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	08/10/2007

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