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Search › Michigan › 207R00000X

Denice Logan, DO

NPI 1851473128 · on the registry since 2006

Practice

Address
80 68th St Se
Grand Rapids, MI 49548
Phone
(616) 391-8242
Fax
(616) 391-8317
Organisation at this address
Gro Optical, Llc
Spectrum Health Hospital
Spectrum Health Hospitals
Spectrum Health Hospitals
Spectrum Health Hospitals
Inferred from a shared address, not stated in the registry.
Clinicians at this address
83

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
2083X0100X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-05-06

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