Individual
DR. LOGAN PATRICK DAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1218 W KILBOURN AVE STE 200, MILWAUKEE, WI 53233-1325
(414) 219-7370
(414) 219-7967
Mailing address
1218 W KILBOURN AVE STE 200, MILWAUKEE, WI 53233-1325
(414) 219-7370
(414) 219-7967
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
81909-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2022
Last updated
06/30/2025
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