| Dr Logan Marshall Feldt, DC | |
|
1441 Bellevue St, Green Bay, WI 54311-5605 | |
| (920) 468-1963 | |
| Not Available |
| Full Name | Dr Logan Marshall Feldt |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 3 Years |
| Location | 1441 Bellevue St, Green Bay, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528735206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 5679-12 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bay Area Chiropractic Sc | 2860455417 | 2 |
| Provider Name | Bay Area Chiropractic Sc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1104804012 PECOS PAC ID: 2860455417 Enrollment ID: O20041105000042 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Logan Marshall Feldt, DC 113 E Price St Unit 301, Eldridge, IA 52748-1779 Ph: (715) 321-1157 | Dr Logan Marshall Feldt, DC 1441 Bellevue St, Green Bay, WI 54311-5605 Ph: (920) 468-1963 |
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