LOGAN FRASER MCCOLL MD
Individual Provider (NPI-1)
Active
Otolaryngology
Provider Information
- NPI Number
1609450527- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 401 PHALEN BLVD, SAINT PAUL, MN, 551305302
- Phone
- (952) 967-7977
- Fax
- (651) 254-8558
Specialties & Taxonomies
Otolaryngology
License: OH #57.250802
Otolaryngology
Primary License: MN #82864
All Addresses
MAILING
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN, 554254516