DENICE MARIE LOGAN

GRAND RAPIDS, MI
NPI1851473128
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  5101008223)
Additional Taxonomies2083X0100X Preventive Medicine, Occupational Medicine
(Licence: MI  5101008223)
Enumeration Date2006-10-19
Last Update Date2014-05-06
Business Address
-- DENICE MARIE LOGAN DO
80 68TH ST SE
GRAND RAPIDS, MI 49548-6980
Phone number: 616-391-8242
Mailing Address
-- DENICE MARIE LOGAN DO
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-8242