Individual
LOGAN STANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7550 W PERKINS PL, MILWAUKEE, WI 53216-1024
(414) 466-4875
Mailing address
6169 W WOODVIEW CT, GREENFIELD, WI 53220-4637
(414) 708-5856
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19978
WI
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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