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Mr. Logan Walter Douglas Flaxman, MD
Student in an Organized Health Care Education/Training Program in Norwalk, Connecticut
NPI 1811565864

Logan Walter Douglas Flaxman is a Student in an Organized Health Care Education/Training Program based in Norwalk, CT. Logan Walter Douglas Flaxman practices in Norwalk, CT and has the professional credentials of MD. The NPI Number for Logan Walter Douglas Flaxman is 1811565864 and holds a License No. (Connecticut).

The current practice location address for Logan Walter Douglas Flaxman is 34 Maple St, Norwalk, CT and can be reached out via phone at 203-852-2025.

Location: 34 Maple St, Norwalk, CT, 06850-3815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811565864
Provider Name
Logan Walter Douglas Flaxman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
34 Maple St, Norwalk, CT, 06850-3815
Phone Number
203-852-2025
Fax Number
Provider Enumeration Date
06/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
34 Maple St
City
Norwalk
State
Connecticut
Zip
06850-3815
Phone Number
203-852-2025
Fax Number
person
Provider Business Mailing Address Details
Address
34 Maple St
City
Norwalk
State
Connecticut
Zip
06850-3815
Phone Number
203-852-2025
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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