Individual
DR. LOGAN MARSHALL FELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1441 BELLEVUE ST, GREEN BAY, WI 54311-5605
(920) 468-1963
Mailing address
113 E PRICE ST UNIT 301, ELDRIDGE, IA 52748-1779
(715) 321-1157
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5679-12
WI
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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