LOGAN MICHAEL

ATHENS, OH
NPI1255957817
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: OH  OPT.006901)
Enumeration Date2020-06-19
Last Update Date2020-06-19
Business Address
LOGAN MICHAEL OD
187 COLUMBUS RD
ATHENS, OH 45701-1315
Phone number: 740-593-3191
Mailing Address
LOGAN MICHAEL OD
1617 HORNBECK RD
MORGANTOWN, WV 26508-4757
Phone number: 304-685-2753