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Individual

LOGAN MICHAEL SEITZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2280 IVY RD, STE 1304, CHARLOTTESVILLE, VA 22903
(434) 243-7778
(434) 244-4454
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008883
VA
363A00000X
Physician Assistant
3994
SC
363A00000X
Physician Assistant

Other

Enumeration date
04/30/2021
Last updated
08/11/2023
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