Surgery Yellow Pages

General, Orthopedic, Thoracic, Vascular Surgery
Plastic, Cosmetic, Oral, Podiatric Surgery

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DR. SAMUEL ERNEST LOGAN M.D., PHD

Surgery Yellow Pages

Saint Joseph, Michigan

Provider NPI: 1013914241

Provider Information:
DR. SAMUEL ERNEST LOGAN M.D., PHD


Practice Location:
3901 STONEGATE PARK SUITE 300 SAINT JOSEPH, MI 49085 US
Tel: 269-556-6000  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208200000XPhysicians
Plastic Surgery
MI4301056980
N2082S0105XPhysicians
Plastic Surgery
MI4301056980
N174400000XOther Service Providers
Specialist
MI4301056980

Other Provider Identifiers:

IssuerNumberStateType
1013914241MI05
2663684MI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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