Search › Minnesota › 208800000X
Logan Hubbard
NPI 1215425830 · on the registry since 2018
Practice
- Address
- 2945 Hazelwood St Ste 200
Maplewood, MN 55109 - Phone
- (651) 232-7800
- Organisation at this address
- Tareen Dermatology, Pa
Fairview Health Services
Bagdade And Associates, Llc
Maplewood Imaging Center Llc
Fairview Pharmacy Services LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 64
Additional practice sites
- 5200 Fairview Blvd, Wyoming, MN
- 420 Delaware St Se, Minneapolis, MN
- 2799 W Grand Blvd, Detroit, MI
Registry record
- Primary taxonomy
- 208800000X
208800000X
- Also registered as
- 390200000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota