Individual
LOGAN MERTLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
609 O ST, AURORA, NE 68818-1100
(402) 694-3171
Mailing address
609 O ST, AURORA, NE 68818-1100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2817
NE
Other
Enumeration date
09/26/2022
Last updated
02/07/2024
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