TIMOTHY DAVID LOGAN

MOUNT CLEMENS, MI
NPI1477763779
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: MI  5101015334)
Enumeration Date2007-05-23
Last Update Date2007-09-02
Business Address
Dr. TIMOTHY DAVID LOGAN D.O.
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043-2920
Phone number: 586-493-8000
Mailing Address
Dr. TIMOTHY DAVID LOGAN D.O.
21608 ENGLEHARDT ST
SAINT CLAIR SHORES, MI 48080-2928
Phone number: 586-218-4088
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