Logan Fox
Logan Fox is a General Practice Physician in Milwaukee, Wisconsin. Licensed in Tennessee. Registered with an NPI since 2017.
- Licensed in
- TN
- In the registry since
- 2017
Practice location Address checks out
1121 E North AveMilwaukee, WI 53212-3515
Phone: (414) 267-6502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence 4588 (TN) |
|---|
Record details
| NPI number | 1710413430 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 2, 2017 |
| Last updated in NPPES | December 2, 2021 |
| Certification date | December 2, 2021 |
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