Ashley Corinne Logan, DO | |
700 West Avenue S, La Crosse, WI 54601-8806 | |
(608) 785-0940 | |
Not Available |
Full Name | Ashley Corinne Logan |
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Gender | Female |
Speciality | Pediatrics |
Location | 700 West Avenue S, La Crosse, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053874222 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 75492-21 (Wisconsin) | Primary |
Entity Name | Mayo Clinic Health System-southwest Wisconsin Region Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20031110000684 |
Mailing Address | Practice Location Address |
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Ashley Corinne Logan, DO 200 1st St Sw, Rochester, MN 55905-0001 Ph: (608) 785-0940 | Ashley Corinne Logan, DO 700 West Avenue S, La Crosse, WI 54601-8806 Ph: (608) 785-0940 |
Clayton J Menagh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-392-9881 | |
Judy L Klevan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Jennifer C Peterson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Antoinette M Peters, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Gary R Stiers, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Christen R Chamberland, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1900 South Ave, La Crosse, WI 54601 Phone: 608-785-0940 |