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1396728887
GEORGE LOGAN
ST LOUIS PARK, MN
NPI
1396728887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: MN 27697)
Enumeration Date
2005-11-29
Last Update Date
2021-09-01
Business Address
GEORGE LOGAN
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426-4702
Phone number: 952-993-3240
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Mailing Address
GEORGE LOGAN
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN 55425-4516
Phone number:
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