Individual
LOGAN MICHAEL BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4109 MICHAEL DR, KOKOMO, IN 46902-4727
(765) 416-2710
Mailing address
4109 MICHAEL DR, KOKOMO, IN 46902-4727
(765) 416-2710
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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