BRIAN J LOGUE

BLOOMINGTON, IN
NPI1467450767
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: IN  01037620A)
Enumeration Date2005-07-11
Last Update Date2017-12-11
Business Address
BRIAN J LOGUE MD
2907 S MCINTIRE DR
BLOOMINGTON, IN 47403-4224
Phone number: 812-332-8765
Mailing Address
BRIAN J LOGUE MD
2907 MCINTYRE DR
BLOOMINGTON, IN 47403-4209
Phone number: 812-332-8765