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1710413430
LOGAN FOX
MILWAUKEE, WI
NPI
1710413430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: TN 4588)
Enumeration Date
2017-05-02
Last Update Date
2021-12-02
Business Address
LOGAN FOX
1121 E NORTH AVE
MILWAUKEE, WI 53212-3515
Phone number: 414-267-6502
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Mailing Address
LOGAN FOX
1121 E NORTH AVE
MILWAUKEE, WI 53212-3515
Phone number: 414-267-6502
Copy
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