Individual
LOGAN MITCHELL WAGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10146 MAYSVILLE RD, FORT WAYNE, IN 46835-9589
(260) 702-3477
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014354A
IN
Other
Enumeration date
05/24/2021
Last updated
12/10/2025
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