Provider Demographics
NPI:1982633988
Name:LOSSIO, FRANCISCO ANTONIO (MD)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:ANTONIO
Last Name:LOSSIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7320 N ALGER RD
Mailing Address - Street 2:SUITE G
Mailing Address - City:ALMA
Mailing Address - State:MI
Mailing Address - Zip Code:48801-1072
Mailing Address - Country:US
Mailing Address - Phone:989-463-2966
Mailing Address - Fax:989-463-5255
Practice Address - Street 1:7320 N ALGER RD
Practice Address - Street 2:SUITE G
Practice Address - City:ALMA
Practice Address - State:MI
Practice Address - Zip Code:48801-1072
Practice Address - Country:US
Practice Address - Phone:989-463-2966
Practice Address - Fax:989-463-5255
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2012-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301077134208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3502900671OtherBCBSM
MI1014599OtherMCLAREN HEALTH PLAN
MI0990419OtherHEALTHPLUS COMMERCIAL
MI471860-10Medicaid
MI1007070OtherMCLAREN HEALTH PLAN
MI200000005796OtherPHP COMMERCIAL
MI4606789-10Medicaid