Denice Marie Logan in Grand Rapids - Internal Medicine

Denice Marie Logan - NPI 1851473128

Denice Marie Logan is a Internal Medicine in Grand Rapids, Michigan. Denice Marie Logan practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Denice Marie Logan is 1851473128. The last update date is 2014-05-06.

Denice Marie Logan's current location address is 100 Michigan St Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163918242. The mailing address for Denice Marie Logan is 100 Michigan St Ne, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Denice Marie Logan
Address 100 Michigan St Ne, Grand Rapids, Michigan
Phone Number 6163918242
Fax Number
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1851473128
Provider Enumeration Date 2006-10-19
Last Updated Date 2014-05-06

Provider Mailing Address Detail

Address 100 Michigan St Ne
City Grand Rapids
State Michigan (MI)
Post Code 495032560
Phone Number 6163918242
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 5101008223
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

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FAQs about Denice Marie Logan

What is the Denice Marie Logan's 1851473128?

The Denice Marie Logan's NPI (National Provider Identifier) Number is 1851473128. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Denice Marie Logan's physical address?

The Denice Marie Logan is physically located at 100 Michigan St Ne, in the city of Grand Rapids, MI, with the postal code 495032560.

What is Denice Marie Logan's specialized field of practice, and what is the corresponding taxonomy classification code?

The Denice Marie Logan's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

On what date did the Denice Marie Logan receive the assignment of its 1851473128 from the Centers for Medicare & Medicaid Services?

The Denice Marie Logan was issued its 1851473128 by the Centers for Medicare & Medicaid Services on 2006-10-19.

As of what date was the information pertaining to Denice Marie Logan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Denice Marie Logan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-05-06.

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