Logan Joseph Wagner
Logan Joseph Wagner is a Student in an Organized Health Care Education/Training Program in Louisville, Kentucky. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
500 S Preston St Rm 305Louisville, KY 40202-1702
Phone: (502) 852-8696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1083296909 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 21, 2021 |
| Last updated in NPPES | April 21, 2021 |
| Certification date | April 21, 2021 |
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