Individual
ANTHONY LOGIUDICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-7433
Mailing address
9200 W WISCONSIN AVE, P.O. BOX 26099, MILWAUKEE, WI 53226-3522
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
59228-20
WI
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
59228-20
WI
Other
Enumeration date
03/28/2011
Last updated
08/01/2017
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