Organization · Type 2 NPI

Michael J. Logan Md, SC

Mental Health Clinic/Center (Including Community Mental Health Center) · Brookfield, WI

NPI number 1093017196 Active

Practice location

16535 W Bluemound Rd Ste 200
Brookfield, WI 53005-5906

Fax (262) 821-6180

Mailing address

15065 Westover Rd
Elm Grove, WI 53122-1541

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801X16418-20 (WI)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1093017196

Michael J. Logan Md, SC's National Provider Identifier is 1093017196, issued on Nov 22, 2010. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Brookfield, WI. The record was last updated on Nov 22, 2010.