Individual
DR. LOGAN COOPER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
28080 GRAND RIVER AVE STE 208, FARMINGTON HILLS, MI 48336-5966
(947) 521-8030
Mailing address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5151016442
MI
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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