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
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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