LOGAN AUSTIN

WYOMING, MI
NPI1902654122
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-05-13
Last Update Date2024-05-13
Business Address
LOGAN AUSTIN DO
5900 BYRON CENTER AVE SW
WYOMING, MI 49519-9606
Phone number: 616-252-7200
Mailing Address
LOGAN AUSTIN DO
5900 BYRON CENTER AVE SW
WYOMING, MI 49519-9606
Phone number: 616-252-7200