Logan Craig Walter D.O.

NPI 1750760187 - Surgery - 208600000X

NPI Details
NPI 1750760187
Gender Male
Enumeration Date 05/18/2015
Last Updated 05/18/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
44405 WOODWARD AVE
PONTIAC MI, 48341-5023, US
Phone (248) 858-3234
Fax
Business Location
1069 E ROJO WAY
GILBERT AZ, 85297-0986, US
Phone (602) 980-2751
Fax
Toxanomy
Taxonomy Code 208600000X
License State Michigan
License Number IN PROGRESS
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According to our database, Logan Craig Walter D.O. NPI is 1750760187, taxonomy code is 208600000X and license number is IN PROGRESS, license state is located at Michigan. Logan Craig Walter D.O. physically located at 44405 Woodward Ave, Pontiac MI, 48341-5023. NPI Number Logan Craig Walter D.O. has the Individual type.

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1750760187 NPI number is provided on an as is basis without warranty of any kind. 1750760187 is maintained by the National Plan & Provider Enumeration System. The contents of Logan Craig Walter D.O. are for informational purposes only.