Logan Michael, OD

NPI #1255957817 in Athens, Ohio

Provider Information

NPI Number: 1255957817
Entity Type: Individual
Name: Logan Michael, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 19, 2020
Last Updated: Jun 19, 2020

Practice Location

Address: 187 COLUMBUS RD
City: Athens
State: Ohio
ZIP Code: 45701-1315
Phone: (740) 593-3191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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