GREGARY ROBERT LOGAN

PAINESVILLE, OH
NPI1770109969
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OH  APRN.CNP.026323)
Enumeration Date2020-06-23
Last Update Date2024-10-16
Business Address
GREGARY ROBERT LOGAN
1506 MENTOR AVE
PAINESVILLE, OH 44077-1705
Phone number: 866-389-2727
Mailing Address
GREGARY ROBERT LOGAN
1506 MENTOR AVE
PAINESVILLE, OH 44077-1705
Phone number: 866-389-2727