Individual
LOGAN HOULIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 836-1600
Mailing address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 836-1600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01076816A
IN
207P00000X
Emergency Medicine Physician
MT195685
PA
Other
Enumeration date
06/09/2009
Last updated
05/12/2019
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