Provider Demographics
NPI:1578563250
Name:FINK, LOUIS MAIER (MD)
Entity Type:Individual
Prefix:
First Name:LOUIS
Middle Name:MAIER
Last Name:FINK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 BREAKTHROUGH WAY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135-3011
Mailing Address - Country:US
Mailing Address - Phone:702-822-5344
Mailing Address - Fax:702-944-0451
Practice Address - Street 1:1 BREAKTHROUGH WAY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89135-3011
Practice Address - Country:US
Practice Address - Phone:702-822-5344
Practice Address - Fax:702-944-0451
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11351207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVE66977Medicare UPIN
NV101037Medicare PIN