Audrey K Logan

NPI #1053805119 in Inkster, Michigan

Provider Information

NPI Number
1053805119
Entity Type
Individual
Name
Audrey K Logan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician/Technologist
Enumeration Date
Jun 21, 2018
Last Updated
Jun 21, 2018

Practice Location

Address
1403 INKSTER ROAD
ZIP Code
48141
Phone
(313) 565-2200

Specialties & Taxonomy Codes

Specialty
Technician/Technologist

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