Individual
MARY ELIZABETH LOGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 BURDICK EXPY E, MINOT, ND 58701-4768
(701) 857-7382
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(018) 577-3827
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
17642
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2017
Last updated
12/02/2021
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