LOGAN MARK KOI

MILWAUKEE, WI
NPI1902637069
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-08-12
Last Update Date2024-08-12
Business Address
LOGAN MARK KOI PA-C
507 N 17TH ST
MILWAUKEE, WI 53233-2104
Phone number: 414-288-5688
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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