Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SAMUEL ERNEST LOGAN, M.D., PHD
ActiveDR. SAMUEL ERNEST LOGAN, M.D., PHD is a Plastic Surgery healthcare provider located in SAINT JOSEPH, Michigan. NPI 1013914241 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · SAINT JOSEPH, MI
Registration Details
- NPI Number
- 1013914241
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 1, 2005 (21.09910312165 yrs)
- Last Updated
- Jan 31, 2017
- Licenses
-
4301056980 (MI)4301056980 (MI)4301056980 (MI)
Practice Information
- Address
-
3901 STONEGATE PARKSUITE 300SAINT JOSEPH, MI, 490859137Browse MI providers · Browse ZIP 49085
- Phone
- 2695566000
- Fax
- 2695566020
- Primary Specialty
-
Plastic Surgery
208200000X
- Additional Specialty
- Surgery of the Hand (Plastic)
- Additional Specialty
- Specialist
Other Plastic Surgery Providers in SAINT JOSEPH, MI
| Name | Credential | NPI |
|---|---|---|
| KAREN LYNNE POWERS | MD | 1558570580 |
| NICOLE ALEXIS PHILLIPS | MD (6/12) | 1063771087 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.