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Search › Wisconsin › 208100000X

Logan Sarge

NPI 1184261943 · on the registry since 2019

Practice

Address
10101 W Wisconsin Ave
Wauwatosa, WI 53226
Phone
(414) 259-6310
Organisation at this address
St. Camillus Health Center, Inc.
St. Camillus Health Center, Inc.
St. Camillus Health Center, Inc.
Advanced Wound Care Solutions Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
208100000X
208100000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-11-28

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 Wisconsin