Whalio Doctors

NPI 1013914241

Samuel Ernest Logan, MDPHD

Practitioner Plastic Surgery Physician Saint Joseph, MI

Practice location

Address
3901 Stonegate Park Suite 300, Saint Joseph, MI 49085-9137
Phone
(269) 556-6000
Fax
(269) 556-6020

Registered specialties (3)

Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 4301056980 (MI)
Surgery of the Hand (Plastic Surgery) Physician
Allopathic & Osteopathic Physicians Taxonomy 2082S0105X Licence 4301056980 (MI)
Specialist
Other Service Providers Taxonomy 174400000X Licence 4301056980 (MI)

Registry record

NPI
1013914241
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Jul 2005
Record last updated
31 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.