NPI 1265139380

Logan Tutton Fulk

Practitioner Prosthetist Grayling, MI

Practice location

Address: 1680 Hartwick Pines Rd, Grayling, MI 49738-9237
Phone: (989) 344-2002
Mailing address: 5200 Huntington Dr, Midland, MI 48640-2197

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1265139380
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Feb 2023
Record last updated: 9 Feb 2023

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.