MARK E LOGAN MD PC
Osteopathic Medicine at Stratton Rd, Mill Village, VT

License number
Vermont 042-0006819
Category
Osteopathic Medicine
Type
Addiction Medicine
Owner
Name: MARK E LOGAN MD
Title: OWNER
Phone: (802) 775-7798
Address
Address
199 Stratton Rd, Mill Village, VT 05701
National Provider ID: 1003117078
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MARK E. LOGAN, MD, PC

199 Stratton Rd, Rutland, VT

Registration:
Apr 15, 2005
State ID:
0126421
Business type:
Domestic Profit Corporation
Agent:
Mark E. Logan,199 Stratton Rd, Rutland, VT (Mailing)

Mark E. Logan, MD, PC

1401 Post Rd, Mill Village, VT 05701

Industry:
Medical Doctor's Office
Director, Medical Director:
Mark E. Logan (Director, Medical Director)

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