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Dr. Samuel Ernest Logan, MD,PHD
Specialist in Saint Joseph, Michigan
NPI 1013914241

Samuel Ernest Logan is a Specialist based in Saint Joseph, MI. Samuel Ernest Logan practices in Saint Joseph, MI and has the professional credentials of MD,PHD. The NPI Number for Samuel Ernest Logan is 1013914241 and holds a License No. 4301056980 (Michigan).

The current practice location address for Samuel Ernest Logan is 3901 Stonegate Park, Saint Joseph, MI and can be reached out via phone at 269-556-6000 and via fax at 269-556-6020.

Location: 3901 Stonegate Park, Saint Joseph, MI, 49085-9137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013914241
Provider Name
Samuel Ernest Logan
Credential
MD,PHD
Provider Entity Type
Individual
Gender
Male
Address
3901 Stonegate Park, Saint Joseph, MI, 49085-9137
Phone Number
269-556-6000
Fax Number
269-556-6020
Provider Enumeration Date
07/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2663684 05 MI
1013914241 05 MI
institution
Provider Business Practice Location Address Details
Address
3901 Stonegate Park
City
Saint Joseph
State
Michigan
Zip
49085-9137
Phone Number
269-556-6000
Fax Number
269-556-6020
person
Provider Business Mailing Address Details
Address
3901 Stonegate Park
City
Saint Joseph
State
Michigan
Zip
49085-9137
Phone Number
269-556-6000
Fax Number
269-556-6020
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
4301056980 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
-
Taxonomy
208200000X
License No.
4301056980 (Michigan)
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
Surgery of the Hand
Taxonomy
2082S0105X
License No.
4301056980 (Michigan)
Definition
A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
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