Individual provider · Type 1 NPI

Timothy David Logan, DO

Cardiovascular Disease Physician · Mount Clemens, MI

NPI number 1477763779 Active

Practice location

1000 Harrington St
Mount Clemens, MI 48043-2920

Call (586) 493-8000 Map

Mailing address

21608 Englehardt St
St. Clair Shores, MI 48080-2928

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000X5101015334 (MI)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1477763779

Timothy David Logan, DO's National Provider Identifier is 1477763779, issued on May 23, 2007. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Mount Clemens, MI. The record was last updated on Sep 2, 2007.