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1174297808
LOGAN J MACIEJEWSKI
GREEN BAY, WI
NPI
1174297808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 5598)
Enumeration Date
2021-08-05
Last Update Date
2023-02-01
Business Address
LOGAN J MACIEJEWSKI PA-C
2845 GREENBRIER RD
GREEN BAY, WI 54311-6519
Phone number: 920-288-8000
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Mailing Address
LOGAN J MACIEJEWSKI PA-C
PO BOX 28900
GREEN BAY, WI 54324-0900
Phone number: 920-490-9046
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