Individual
LOGAN DON STACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 W 22ND ST, SIOUX FALLS, SD 57105-1554
(605) 357-1461
Mailing address
3809 S MESQUITE AVE, SIOUX FALLS, SD 57110-4315
(605) 881-4023
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
SD
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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