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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MICHAEL STEPHEN LOGUE, FAM NRS PRAC FNP

Active

MR. MICHAEL STEPHEN LOGUE, FAM NRS PRAC FNP is a Family Nurse Practitioner healthcare provider located in ST LOUIS, Missouri. NPI 1750338919 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · ST LOUIS, MO

Registration Details

NPI Number
1750338919
Provider Type
Individual
Gender
Male
NPI Issued
May 30, 2006 (20.167542851979 yrs)
Last Updated
Nov 7, 2007
Licenses
135879 (MO)
209004468 (IL)

Practice Information

Address
10012 KENNERLY ROAD
SUITE # 301
ST LOUIS, MO, 63128
Browse MO providers · Browse ZIP 63128
Phone
3148940787
Fax
3147291489
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in ST LOUIS, MO

Name Credential NPI
MRS. LINDA K MCCLOUD ANP 1336221852
CODY MARIE ECKELKAMP FNP, BC 1154988327
MS. CHLOE SUZANNE DATILLO NURSE PRACTITIONER 1366096703
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.