Most Relevant Information
Provider Data
| NPI Number: | 1003446170 |
| Provider Name: | LOGAN MICHAEL RIEMAN CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | LE00030155 |
Most Important Dates
| Enumeration Date: | 01/17/2020 |
| Last Updated: | 01/17/2020 |
Provider Practice Location
801 MEDICAL DR STE A
LIMA
OH
458044030
Practice Location Phone/Fax
| Phone: | 4192226622 |
| Fax: | 4192240015 |
Provider Mailing Location
801 MEDICAL DR STE A
LIMA
OH
458044030
Provider Mailing Phone/Fax
| Phone: | 4192226622 |
| Fax: | 4192240015 |