Michael J Loebenberg

Debarred entity

Born 29 Jul 1953 (73 years old),United States. Named in 1 sanctions listing.

Sanctions and listings1

Effective
28 Feb 2018
Official designation
Mississippi Division of MedicaidUS Mississippi Medicaid Terminated Provider ListUnited States
Exclusion by Other Agencies or Programs
medicaid.ms.gov

Identifiers1

Identifier	Number
NPI number	1790785277

Addresses1

3890 Bienville Blvd

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