Search › Missouri › 363LF0000X
Michael Logue, FAM NRS PRAC FNP
NPI 1750338919 · on the registry since 2006
Practice
- Address
- 10012 Kennerly Road
Suite # 301
St Louis, MO 63128 - Phone
- (314) 894-0787
- Fax
- (314) 729-1489
- Organisation at this address
- St Louis Gastroenterology Consultants Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- MO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-11-07
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 Missouri