Individual
MISS LOGANNE B WERTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1429 N 6TH ST, TERRE HAUTE, IN 47807-1019
(812) 242-3390
Mailing address
905 E 10TH ST, FOWLER, IN 47944-1620
(574) 870-9659
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
03/23/2026
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