Individual
LOGAN MARIE KETCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
24285 RED ARROW HWY STE A, MATTAWAN, MI 49071-7700
(269) 399-4690
Mailing address
24285 RED ARROW HWY STE A, MATTAWAN, MI 49071-7700
(269) 399-4690
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010763
MI
Other
Enumeration date
01/17/2019
Last updated
04/14/2022
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