Provider Demographics
NPI:1417928805
Name:LOEWEN, NATHAN H (MD)
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:H
Last Name:LOEWEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 3RD ST SE
Mailing Address - Street 2:
Mailing Address - City:HURON
Mailing Address - State:SD
Mailing Address - Zip Code:57350-2502
Mailing Address - Country:US
Mailing Address - Phone:605-352-2117
Mailing Address - Fax:605-352-5513
Practice Address - Street 1:118 3RD ST SE
Practice Address - Street 2:
Practice Address - City:HURON
Practice Address - State:SD
Practice Address - Zip Code:57350-2502
Practice Address - Country:US
Practice Address - Phone:605-352-2117
Practice Address - Fax:605-554-2200
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD3517207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine