Ryan Logue is a student in an organized health care education training program in Milwaukee, WI. The provider is 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. Ryan Logue NPI is 1093178477. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1020 N 12TH ST
MILWAUKEE, WI
ZIP 53233-308
Phone: (260) 704-8171
The enumeration date for this NPI number is 4/1/2016 and was last updated on 7/12/2016.