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Individual

DR. LOGAN CHASE BIETER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
10122 E 10TH ST STE 230, INDIANAPOLIS, IN 46229-2664
(317) 355-7356
Mailing address
10122 E 10TH ST STE 230, INDIANAPOLIS, IN 46229-2664

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
41000507A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300116411
IN
Enumeration date
04/28/2025
Last updated
08/07/2025
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