Logan Diane Wirtz

NPI #1902652316 in Wadsworth, Ohio

Provider Information

NPI Number: 1902652316
Entity Type: Individual
Name: Logan Diane Wirtz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Apr 26, 2024
Last Updated: Apr 26, 2024

Practice Location

Address: 168 FAIRLAWN AVE
City: Wadsworth
State: Ohio
ZIP Code: 44281-2252
Phone: (440) 865-1191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X
Homemaker	376J00000X	Primary

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