Individual
LOGAN JAMES BAHMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
509 8TH ST, FARMINGTON, MN 55024-1403
(760) 672-7786
Mailing address
509 8TH ST, FARMINGTON, MN 55024-1403
(760) 672-7786
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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