Individual
DR. JOCELYN MARIE LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7895 GRAND BLVD, HOBART, IN 46342-6665
(219) 947-1910
(219) 947-3117
Mailing address
7895 GRAND BLVD, HOBART, IN 46342-6665
(219) 947-1910
(219) 947-3117
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01078708A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201002790
—
IN
05
—
3087001
—
OH
05
—
7100124610
—
KY
Enumeration date
11/28/2006
Last updated
06/13/2024
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