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Individual
LOGAN CHRISTIANSEN
Active
Individual
LOGAN CHRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD.0000939
CO
213ES0103X
Foot & Ankle Surgery Podiatrist
41000438A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
POD.0000939
CO
Other
Enumeration date
04/15/2021
Last updated
06/12/2024
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