LOGAN ALEXANDER SARGE

WAUWATOSA, WI
NPI1184261943
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: WI  PENDING)
Enumeration Date2019-11-28
Last Update Date2019-11-28
Business Address
LOGAN ALEXANDER SARGE
10101 W WISCONSIN AVE
WAUWATOSA, WI 53226-4861
Phone number: 414-259-6310
Mailing Address
LOGAN ALEXANDER SARGE
2887 S 128TH ST
NEW BERLIN, WI 53151-4029
Phone number: 920-251-7471
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