Samuel Ernest Logan in Saint Joseph - Plastic Surgery
Samuel Ernest Logan - NPI 1013914241
Samuel Ernest Logan is a Plastic Surgery in Saint Joseph, Michigan. Samuel Ernest Logan practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Samuel Ernest Logan is 1013914241. The last update date is 2017-01-31.
Samuel Ernest Logan's current location address is 3901 Stonegate Park, Saint Joseph, Michigan. You can contact this provider via phone number 2695566000. The mailing address for Samuel Ernest Logan is 3901 Stonegate Park, Saint Joseph, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel Ernest Logan |
|---|---|
| Address | 3901 Stonegate Park, Saint Joseph, Michigan |
| Phone Number | 2695566000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D., PHD |
NPI Number Detail
| NPI Number | 1013914241 |
|---|---|
| Provider Enumeration Date | 2005-07-01 |
| Last Updated Date | 2017-01-31 |
Provider Mailing Address Detail
| Address | 3901 Stonegate Park |
|---|---|
| City | Saint Joseph |
| State | Michigan (MI) |
| Post Code | 490859137 |
| Phone Number | 2695566000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | 4301056980 |
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Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2663684 | MI | -- | |
| 1013914241 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Samuel Ernest Logan by the Centers for Medicare & Medicaid Services?
The Samuel Ernest Logan has been assigned the NPI (National Provider Identifier) 1013914241. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Samuel Ernest Logan is geographically located?
The Samuel Ernest Logan is physically situated at the following location: 3901 Stonegate Park, Saint Joseph, MI, 490859137.
What is Samuel Ernest Logan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Samuel Ernest Logan is Plastic Surgery, and the corresponding taxonomy classification code for this specialized field is 208200000X.
When did the Samuel Ernest Logan receive its 1013914241?
The Samuel Ernest Logan was issued its 1013914241 on 2005-07-01, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Samuel Ernest Logan most recently updated or revised?
The information pertaining to Samuel Ernest Logan, including its address, specialty, and other relevant details, was last updated or revised on 2017-01-31.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN