LOGAN TYLER GARTHE

SPRINGFIELD, IL
NPI1962025577
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  125.076610)
Enumeration Date2020-05-19
Last Update Date2020-07-11
Business Address
LOGAN TYLER GARTHE MD
520 N 4TH ST
SPRINGFIELD, IL 62702-5238
Phone number: 618-406-6011
Mailing Address
LOGAN TYLER GARTHE MD
PO BOX 19670
SPRINGFIELD, IL 62794-9670
Phone number:
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