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Search › Michigan › 164W00000X

Logan Thirkill

NPI 1700621992 · on the registry since 2024 · sole proprietor

Practice

Address
44200 Woodward Ave Ste 212
Pontiac, MI 48341
Phone
(248) 332-4540
Organisation at this address
Detroit Vamc
Pampered Child
Annamma Pullukat
Annamma Pullukat
Grace Pediatrics Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
42

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-07-01

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