Dr. Samuel Ernest Logan
Surgeon Plastic Hand Surgeon
3901 Stonegate Park Suite 300
Saint Joseph
, Michigan 49085-9137
Dr. Samuel Ernest Logan
Surgeon Plastic Hand Surgeon
3901 Stonegate Park Suite 300
Saint Joseph
, Michigan 49085-9137
(269) 556-6000
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About
Features
Specialties
- Surgeon
- Plastic Hand Surgeon
Languages spoken
- English
Location
First Address
- Dr. Samuel Ernest Logan
- 3901 Stonegate Park Suite 300
- Saint Joseph, MI
- Zip : 49085-9137
- Phone : (269) 556-6000
Second Address
- Dr. Samuel Ernest Logan
- 3901 Stonegate Park Suite 300
- Saint Joseph, MI
- Zip : 49085-9137
- Fax : (269) 556-6020
- Phone : (269) 556-6000
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | 4301056980 | MI |
| Y | 208600000X | Surgeon | 4301056980 | MI |
| N | 2082S0105X | Plastic Hand Surgeon | 4301056980 | MI |
National Provider Identifier
| NPI | 1013914241 |
|---|---|
| Provider Name | Dr. Samuel Ernest Logan |
| First Address | Saint Joseph, MI 49085-9137 |
| Second Address | Saint Joseph, MI 49085-9137 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2005 |
| Last Update Date | 31/01/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1013914241 | (05) | MI |
| 2663684 | (05) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.