| Logan Slack, | |
|
1300 Anne St Nw, Bemidji, MN 56601-5103 | |
| (218) 751-9746 | |
| Not Available |
| Full Name | Logan Slack |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1300 Anne St Nw, Bemidji, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982328480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 14888 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Slack, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-9419 | Logan Slack, 1300 Anne St Nw, Bemidji, MN 56601-5103 Ph: (218) 751-9746 |
Deborah Steinbar, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1233 34th St Nw, Bemidji, MN 56601 Phone: 218-333-5000 Fax: 218-333-5360 | |
Cole Hartje, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1300 Anne St Nw, Bemidji, MN 56601 Phone: 218-368-6224 | |
Donna Marie Shorter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1233 34th St Nw, Bemidji, MN 56601 Phone: 218-333-5000 Fax: 218-759-5024 | |
Hiedi Folkert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1705 Anne St Nw # 5, Bemidji, MN 56601 Phone: 218-333-5000 Fax: 218-759-4766 | |
Trevor Yartz, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 619 5th St Nw, Bemidji, MN 56601 Phone: 218-751-4144 Fax: 218-751-3545 | |
Katherine Ann Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1300 Anne St Nw, Bemidji, MN 56601 Phone: 218-751-9746 | |
Grant Coauette, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1233 34th St Nw, Bemidji, MN 56601 Phone: 218-333-5000 |