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Individual

DR. MARY JO LOGEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3373 COMMERCE PKWY, SUITE 2, WOOSTER, OH 44691-7130
(330) 804-9712
(330) 804-9717
Mailing address
3373 COMMERCE PKWY, SUITE 2, WOOSTER, OH 44691-7130
(330) 804-9712
(330) 804-9717

Taxonomy

Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
35061022
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0891512
OH
Enumeration date
07/14/2005
Last updated
02/12/2009
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