Logan Slack

NPI #1982328480 in Bemidji, Minnesota

Provider Information

NPI Number
1982328480
Entity Type
Individual
Name
Logan Slack
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Enumeration Date
Sep 28, 2022
Last Updated
May 20, 2024

Practice Location

Address
1300 ANNE ST NW
ZIP Code
56601-5103
Phone
(218) 751-9746

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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