Provider Demographics
NPI:1962840876
Name:LOY, BO NASMYTH (MD)
Entity Type:Individual
Prefix:
First Name:BO
Middle Name:NASMYTH
Last Name:LOY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3535 W 13 MILE RD
Mailing Address - Street 2:SUITE 744
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-6770
Mailing Address - Country:US
Mailing Address - Phone:248-551-9100
Mailing Address - Fax:248-551-9131
Practice Address - Street 1:3535 W 13 MILE RD
Practice Address - Street 2:SUITE 744
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-6770
Practice Address - Country:US
Practice Address - Phone:248-551-9100
Practice Address - Fax:248-551-9131
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-13
Last Update Date:2013-06-13
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Provider Licenses
StateLicense IDTaxonomies
MI4301102675207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery