Provider Demographics
NPI:1740078716
Name:LOFT, VICTO MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:VICTO
Middle Name:MARIE
Last Name:LOFT
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2413 DENURE DR
Mailing Address - Street 2:
Mailing Address - City:PETERSBOROUGH
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:K9K2L4
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:24911 LITTLE MACK
Practice Address - Street 2:SUITE C
Practice Address - City:ST CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48080
Practice Address - Country:US
Practice Address - Phone:586-777-2050
Practice Address - Fax:586-777-2189
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program