NPI 1003611633

Edwin Intig Loon

Practitioner Licensed Practical Nurse Detroit, MI

Practice location

Address: 4646 John R St, Detroit, MI 48201-1916
Phone: (313) 576-1000
Mailing address: 2106 Almont St, Ferndale, MI 48220-1581

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 4703108591 (MI)

Other Licensed Practical Nurse providers in Michigan →

Registry record

NPI: 1003611633
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Feb 2025
Record last updated: 18 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.