Individual
ANGELLE LOGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-6665
(937) 395-6668
Mailing address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-6665
(937) 395-6668
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34.013794
OH
208M00000X
Hospitalist Physician
Primary
34.013794
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0362622
—
OH
Enumeration date
03/15/2016
Last updated
03/31/2025
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