Individual
DANIEL BLAKE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
426A BEECHER RD, GAHANNA, OH 43230-1797
(614) 939-9330
(614) 939-9299
Mailing address
426A BEECHER RD, GAHANNA, OH 43230-1797
(614) 939-9330
(614) 939-9299
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003350
OH
Other
Enumeration date
06/22/2005
Last updated
04/22/2021
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