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Individual

LOGAN FORREST WADDELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4389 MEDINA RD, COPLEY, OH 44321-1388
(234) 815-5100
Mailing address
3440 WOODLING WAY, MEDINA, OH 44256-9253
(330) 608-7642

Taxonomy

Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary

Other

Enumeration date
04/11/2025
Last updated
04/11/2025
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