Individual
LOGAN TUTTON FULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1680 HARTWICK PINES RD, GRAYLING, MI 49738-9237
(989) 344-2002
Mailing address
5200 HUNTINGTON DR, MIDLAND, MI 48640-2197
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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