Individual
JOAN LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 762-6000
Mailing address
20877 45TH ST, BRISTOL, WI 53104-9109
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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