Individual
JOSEPH MICHAEL LOGAN OLDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP-NA, CRNA
Contact information
Practice address
3333 W DEYOUNG ST, MARION, IL 62959-5884
(618) 998-7000
Mailing address
1302 W SAINT LOUIS ST, WEST FRANKFORT, IL 62896-1965
(618) 218-4689
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.021447
IL
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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