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1902637069
LOGAN MARK KOI
MILWAUKEE, WI
NPI
1902637069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-08-12
Last Update Date
2024-08-12
Business Address
LOGAN MARK KOI PA-C
507 N 17TH ST
MILWAUKEE, WI 53233-2104
Phone number: 414-288-5688
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Mailing Address
LOGAN MARK KOI PA-C
12475 STATE HIGHWAY 180 LOT 40
GULF SHORES, AL 36542-8276
Phone number: 812-325-6551
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