NPI 1184261943

Logan Alexander Sarge

Practitioner Physical Medicine & Rehabilitation Physician Wauwatosa, WI

Practice location

Address: 10101 W Wisconsin Ave, Wauwatosa, WI 53226-4861
Phone: (414) 259-6310
Mailing address: 2887 S 128th St, New Berlin, WI 53151-4029

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence PENDING (WI)

Other Physical Medicine & Rehabilitation providers in Wisconsin →

Registry record

NPI: 1184261943
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Nov 2019
Record last updated: 28 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.