LOGAN DOUGLAS MOEWS

CHICAGO, IL
NPI1386415115
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-01-10
Last Update Date2024-01-10
Business Address
LOGAN DOUGLAS MOEWS
420 E SUPERIOR ST
CHICAGO, IL 60611-4494
Phone number: 312-503-8194
Mailing Address
LOGAN DOUGLAS MOEWS
370 W 9TH AVE
COLUMBUS, OH 43210-1238
Phone number: 614-685-4411