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Individual
LOGAN GEORGE
Active
Individual
LOGAN GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301514394
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4301514394
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TL.0009399
CO
Other
Enumeration date
05/25/2021
Last updated
04/20/2026
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