LOGAN M GUSHIKEN

DES MOINES, IA
NPI1578061867
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IA  090351)
Enumeration Date2018-02-01
Last Update Date2022-12-30
Business Address
LOGAN M GUSHIKEN DPT
1301 PENNSYLVANIA AVE STE 213
DES MOINES, IA 50316-2365
Phone number: 515-224-1414
Mailing Address
LOGAN M GUSHIKEN DPT
1301 PENNSYLVANIA AVE STE 213
DES MOINES, IA 50316-2365
Phone number: 515-224-1414
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