Individual
DR. LOGAN THOMAS JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(608) 697-4542
Mailing address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(608) 697-4542
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5151016660
MI
Other
Enumeration date
04/26/2024
Last updated
04/29/2024
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