Individual
DOUGLAS LOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1675 LEAHY ST, STE 109, MUSKEGON, MI 49442-5500
(231) 728-5720
(231) 728-5721
Mailing address
5000 CHESHIRE PKWY N, PLYMOUTH, MN 55446-4103
(888) 510-0766
(763) 268-4017
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
1601000414
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
904557297
—
MI
Enumeration date
06/01/2006
Last updated
06/08/2011
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