Provider Demographics
NPI:1689688897
Name:LOUWAGIE, CURTIS RONALD (MD)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:RONALD
Last Name:LOUWAGIE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:300 S BRUCE ST
Mailing Address - Street 2:AVERA MARSHALL SOUTHWEST OPHTHALMOLOGY
Mailing Address - City:MARSHALL
Mailing Address - State:MN
Mailing Address - Zip Code:56258-1934
Mailing Address - Country:US
Mailing Address - Phone:507-537-1427
Mailing Address - Fax:507-537-1742
Practice Address - Street 1:300 S BRUCE ST
Practice Address - Street 2:AVERA MARSHALL SOUTHWEST OPHTHALMOLOGY
Practice Address - City:MARSHALL
Practice Address - State:MN
Practice Address - Zip Code:56258-1934
Practice Address - Country:US
Practice Address - Phone:507-537-1427
Practice Address - Fax:507-537-1742
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2015-03-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN48686207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN444420000Medicaid
MN180001398Medicare PIN
I55497Medicare UPIN