Search › Minnesota › 207Q00000X
Jason Logan, MD
NPI 1619985447 · on the registry since 2006
Practice
- Address
- 1540 South Lake St
Forest Lake, MN 55025 - Phone
- (651) 464-7100
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-10
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