Provider Demographics
NPI:1154421220
Name:LOUTERS, HERMAN A (MD)
Entity type:Individual
Prefix:
First Name:HERMAN
Middle Name:A
Last Name:LOUTERS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2695 ROCKY MOUNTAIN AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9071
Mailing Address - Country:US
Mailing Address - Phone:970-624-2417
Mailing Address - Fax:970-652-2927
Practice Address - Street 1:175 S UNION BLVD STE 350
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80910-3146
Practice Address - Country:US
Practice Address - Phone:719-633-5515
Practice Address - Fax:719-365-1307
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2023-01-03
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Provider Licenses
StateLicense IDTaxonomies
MN32185207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN080004427Medicare PIN