Individual
DR. JAY P LOGEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35-052624
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020029015
RR MEDICARE
OH
05
—
0807318
—
OH
05
—
64090921
—
KY
Enumeration date
02/24/2006
Last updated
02/27/2024
Update your record
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