Logan Sparks, PA

NPI 1306436845 · on the registry since 2021

Practice

Address: 3815 Pelham St Ste 13
Dearborn, MI 48124
Phone: (313) 722-4683
Fax: (313) 241-9342
Organisation at this address: Pelham Pharmacy
Core Psych Pllc
Psychology Talk
Sina Health, Inc.
Faith Medical Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-03-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan