person
Logan Mathew Hansen
Student in an Organized Health Care Education/Training Program in Detroit, Michigan
NPI 1255858403

Logan Mathew Hansen is a Student in an Organized Health Care Education/Training Program based in Detroit, MI. Logan Mathew Hansen practices in Detroit, MI. The NPI Number for Logan Mathew Hansen is 1255858403 and holds a License No. (Michigan).

The current practice location address for Logan Mathew Hansen is 2799 W Grand Boulevard, Detroit, MI and can be reached out via phone at 800-436-7936.

Location: 2799 W Grand Boulevard, Detroit, MI, 48202-2689
person
Provider Profile Details
NPI Number
1255858403
Provider Name
Logan Mathew Hansen
Credential
Provider Entity Type
Individual
Gender
Male
Address
2799 W Grand Boulevard, Detroit, MI, 48202-2689
Phone Number
800-436-7936
Fax Number
Provider Enumeration Date
08/28/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2799 W Grand Boulevard
City
State
Zip
48202-2689
Phone Number
800-436-7936
Fax Number
person
Provider Business Mailing Address Details
Address
2799 W Grand Boulevard
City
State
Zip
48202-2689
Phone Number
800-436-7936
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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