Individual provider · Type 1 NPI

Logan Sparks, PA

Physician Assistant · Dearborn, MI

NPI number 1306436845 Active

Practice location

3815 Pelham St Ste 13
Dearborn, MI 48124-3852

Call (313) 722-4683 Map

Fax (313) 241-9342

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601010419 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1306436845

Logan Sparks, PA's National Provider Identifier is 1306436845, issued on Jan 19, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Dearborn, MI. The record was last updated on Mar 21, 2023.