Individual provider · Type 1 NPI

Samuel Ernest Logan, MD, PhD

Plastic Surgery Physician · St. Joseph, MI

NPI number 1013914241 Active

Practice location

3901 Stonegate Park, Suite 300
St. Joseph, MI 49085-9137

Fax (269) 556-6020

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician Primary 208200000X4301056980 (MI)
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X4301056980 (MI)
Specialist 174400000X4301056980 (MI)

Plastic Surgery Physician: 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 b…

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About NPI 1013914241

Samuel Ernest Logan, MD, PhD's National Provider Identifier is 1013914241, issued on Jul 1, 2005. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in St. Joseph, MI. The record was last updated on Jan 31, 2017.