Individual
STEPHAN LOGINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-5190
(248) 964-5199
Mailing address
26901 BEAUMONT BLVD # 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1952
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
40903
KY
2085R0202X
Diagnostic Radiology Physician
Primary
4301040405
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000541332
BCBS PROVIDER NUMBER
KY
05
—
1916247
—
MI
01
—
300F362480
BCBSM
MI
05
—
7100023600
—
KY
Enumeration date
03/23/2006
Last updated
07/28/2022
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