Michael J. Logan Md, Sc
NPI #1093017196 in Brookfield, Wisconsin
Provider Information
- NPI Number
- 1093017196
- Entity Type
- Organization
- Organization Name
- Michael J. Logan Md, Sc
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Nov 22, 2010
- Last Updated
- Nov 22, 2010
Practice Location
- Address
- 16535 W BLUEMOUND RD STE 200
- City
- Brookfield
- State
- Wisconsin
- ZIP Code
- 53005-5906
- Phone
- (262) 789-0909
Authorized Official
- Name
- MICHAEL JEFFREY LOGAN, M.D.
- Title
- OWNER/PRESIDENT
- Phone
- (262) 786-1710
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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