Individual
LOGAN MICHAELINE KWASNICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1348 SHARON COPLEY RD, WADSWORTH, OH 44281
(330) 591-2444
(833) 740-3510
Mailing address
PO BOX 62, SHARON CENTER, OH 44274-0062
(724) 815-8511
(833) 740-3510
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004463
OH
Other
Enumeration date
09/24/2015
Last updated
07/09/2025
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