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1467450767
BRIAN J LOGUE
BLOOMINGTON, IN
NPI
1467450767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: IN 01037620A)
Enumeration Date
2005-07-11
Last Update Date
2017-12-11
Business Address
BRIAN J LOGUE MD
2907 S MCINTIRE DR
BLOOMINGTON, IN 47403-4224
Phone number: 812-332-8765
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Mailing Address
BRIAN J LOGUE MD
2907 MCINTYRE DR
BLOOMINGTON, IN 47403-4209
Phone number: 812-332-8765
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