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NPI Verification

National Provider Identifier: 1215425830

Logan C Hubbard

Individual Provider

Primary Specialty

Urology

Code: 208800000X

All Specialties (2)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Urology

Code: 208800000X

Primary

Practice Address

2945 HAZELWOOD ST STE 200

MAPLEWOOD, MN 551091243

Phone: 651-232-7800

NPI Enumeration Date

April 30, 2018

NPI Number

1215425830

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry