Individual
LOGAN BORGELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10200 DEXTER PINCKNEY RD, PINCKNEY, MI 48169-8928
(734) 878-1000
(734) 878-1001
Mailing address
24 FRANK LLOYD WRIGHT DR # J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01086836A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2020
Last updated
08/22/2024
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