Logan, Suzanna

Logan, Suzanna is an individual health care provider with primary practice located at 8901 W Lincoln Ave , West Allis WI 53227-2409. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Logan, Suzanna can be contacted via phone (414) 328-7950.

Contact Information

Primary practice address
8901 W Lincoln Ave West Allis WI 53227-2409
Phone: (414) 328-7950
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 68475 Minnesota
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 76828-20 Wisconsin

Profile Details

NPI number 1942664388
LBN Legal business name Logan, Suzanna
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2016
Last updated Nov 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942664388 NPPES
Wisconsin Other 76828-20 STATE OF WISCONSIN MEDICAL EXAMINING BOARD

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