Individual
KRISTEN MARIE LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ABOC
Contact information
Practice address
601 E LEFFLER ST, DODGEVILLE, WI 53533-2123
(608) 935-7452
(608) 935-7454
Mailing address
601 E LEFFLER ST, DODGEVILLE, WI 53533-2123
(608) 935-7452
(608) 935-7454
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
235531
WI
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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