Logan Fox is a General Practice Physician based in Milwaukee, WI. Logan Fox practices in Milwaukee, WI. The NPI Number for Logan Fox is 1710413430 and holds a License No. 4588 (Wisconsin).
The current practice location address for Logan Fox is 1121 E North Ave, Milwaukee, WI and can be reached out via phone at 414-267-6502.
Location: 1121 E North Ave, Milwaukee, WI, 53212-3515
Provider Profile Details
NPI Number
1710413430
Provider Name
Logan Fox
Credential
Provider Entity Type
Individual
Gender
Male
Address
1121 E North Ave, Milwaukee, WI, 53212-3515
Phone Number
414-267-6502
Fax Number
Provider Enumeration Date
05/02/2017
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
1121 E North Ave
City
State
Zip
53212-3515
Phone Number
414-267-6502
Fax Number
Provider Business Mailing Address Details
Address
1121 E North Ave
City
State
Zip
53212-3515
Phone Number
414-267-6502
Fax Number
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
4588 (Tennessee)
Definition
Definition to come...
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