Provider Demographics
NPI:1649350182
Name:LOVIO, ROSE MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:ROSE
Middle Name:MARIE
Last Name:LOVIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:363 FREMONT STREET
Mailing Address - Street 2:SUITE 203
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49017-3398
Mailing Address - Country:US
Mailing Address - Phone:269-969-6123
Mailing Address - Fax:369-969-6122
Practice Address - Street 1:363 FREMONT STREET
Practice Address - Street 2:SUITE 203
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017-3398
Practice Address - Country:US
Practice Address - Phone:269-969-6123
Practice Address - Fax:369-969-6122
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301068535207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0801302811OtherBLUE CROSS BLUE SHIELD
MIP00245326OtherMEDICARE RAIL ROAD
MI0130281OtherBLUE CARE NETWORK
MI0131126OtherPHP
G96194Medicare UPIN
MI0801302811OtherBLUE CROSS BLUE SHIELD