Individual
DR. JOHN WESLEY LOGAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6565 N CHARLES ST STE 203, BALTIMORE, MD 21204-5805
(443) 849-3760
(443) 849-8138
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D94363
MD
207R00000X
Internal Medicine Physician
D94363
MD
Other
Enumeration date
04/06/2015
Last updated
05/19/2023
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