Individual
LOGAN GALBRAITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5050 N CLINTON ST, FORT WAYNE, IN 46825-5886
(260) 484-8551
Mailing address
16425 CHILTON CV, HUNTERTOWN, IN 46748-0049
(765) 513-1902
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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