Provider Demographics
NPI:1013915842
Name:LOGEE, OWEN W (MD)
Entity type:Individual
Prefix:DR
First Name:OWEN
Middle Name:W
Last Name:LOGEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3727 FRIENDSVILLE RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-7127
Mailing Address - Country:US
Mailing Address - Phone:330-202-3440
Mailing Address - Fax:330-202-3448
Practice Address - Street 1:3727 FRIENDSVILLE RD
Practice Address - Street 2:SUITE 2
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-7127
Practice Address - Country:US
Practice Address - Phone:330-202-3440
Practice Address - Fax:330-202-3448
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2007-11-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH032581207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0337077Medicaid
OH8626940001Medicare NSC
OHLO0436471Medicare ID - Type Unspecified
OH0337077Medicaid