Individual
LOGAN FRASER MCCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(952) 967-7977
(651) 254-8558
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
57.250802
OH
207Y00000X
Otolaryngology Physician
Primary
82864
MN
Other
Enumeration date
05/06/2021
Last updated
07/01/2026
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