Provider Demographics
NPI:1053390377
Name:LOERZEL, MARIA JONES (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:JONES
Last Name:LOERZEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:502 2ND ST SW
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WILLMAR
Mailing Address - State:MN
Mailing Address - Zip Code:56201-3365
Mailing Address - Country:US
Mailing Address - Phone:320-235-7232
Mailing Address - Fax:320-231-8602
Practice Address - Street 1:502 2ND ST SW
Practice Address - Street 2:SUITE 1
Practice Address - City:WILLMAR
Practice Address - State:MN
Practice Address - Zip Code:56201-3365
Practice Address - Country:US
Practice Address - Phone:320-235-7232
Practice Address - Fax:320-231-8602
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2023-03-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN48170207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN727665600Medicaid
H82371Medicare UPIN
MN080014379Medicare ID - Type Unspecified