Individual
LOGAN KOLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
210 9TH ST SE, ROCHESTER, MN 55904-6756
(507) 288-3443
Mailing address
50549 287TH AVE, ELGIN, MN 55932-5255
(507) 272-2721
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
67678
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/13/2016
Last updated
07/17/2020
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