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LOGAN SLACK
Physician Assistant
NPI: 1982328480IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
14888(MN)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2023
Contact & Hours
- Address
- 1300 ANNE ST NW
BEMIDJI, MN 56601 - Phone
- (218) 751-9746
Quick Facts
- NPI
- 1982328480
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 3
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