Individual
MR. LOGAN MICHAEL VIEGUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1600 MILLER TRUNK HWY, DULUTH, MN 55811-5640
(218) 786-5360
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12636
MN
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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