Individual
DR. WILLIAM J LOGEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5141 MORNING SUN RD, OXFORD, OH 45056-9629
(513) 523-2156
(513) 523-2503
Mailing address
24999 MOUNT PLEASANT RD, LAWRENCEBURG, IN 47025-9783
(812) 637-2802
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35045684L
OH
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
35045684L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000216596
ANTHEM
OH
01
—
010587697026
HUMANA
OH
05
—
0647474
—
OH
01
—
1201304
UNITED HEALTHCARE
OH
01
—
130910003
CARESOURCE
OH
01
—
633854
AETNA
OH
Enumeration date
07/08/2005
Last updated
10/26/2011
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