DR. Jason M Logan, MD
NPI #1619985447 in Forest Lake, Minnesota
Provider Information
- NPI Number
- 1619985447
- Entity Type
- Individual
- Name
- DR. Jason M Logan, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Aug 4, 2006
- Last Updated
- Nov 10, 2020
Practice Location
- Address
- 1540 SOUTH LAKE ST
- City
- Forest Lake
- State
- Minnesota
- ZIP Code
- 55025-2628
- Phone
- (651) 464-7100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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