Individual
LOGAN JAMES PIONTEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1280 E CAMPUS DR, MOUNT PLEASANT, MI 48858-3803
(920) 309-3109
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5335
WI
Other
Enumeration date
02/10/2020
Last updated
02/16/2021
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