Individual
LOGAN JOSHUA VANDER GALIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2840 N FARWELL AVE, MILWAUKEE, WI 53211-3760
(920) 326-9474
Mailing address
2840 N FARWELL AVE, MILWAUKEE, WI 53211-3760
(920) 326-9474
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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