MICHAEL J. LOGAN MD, SC

BROOKFIELD, WI
NPI1093017196
Entity TypeOrganization
Authorized ContactMICHAEL JEFFREY LOGAN
Owner/President
262-786-1710
Organization Subpart ?No
Primary Taxonomy261QM0801X 
(Licence: WI  16418-20)
Enumeration Date2010-11-22
Last Update Date2010-11-22
Business Address
MICHAEL J. LOGAN MD, SC
16535 W BLUEMOUND RD STE 200
BROOKFIELD, WI 53005-5906
Phone number: 262-789-0909
Mailing Address
MICHAEL J. LOGAN MD, SC
15065 WESTOVER RD
ELM GROVE, WI 53122-1541
Phone number: 262-786-1710
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