Individual
LOGAN A ONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22631 GREATER MACK AVE., SUITE 100, ST CLAIR SHORES, MI 48080-2055
(313) 885-2334
(313) 885-9181
Mailing address
22631 GREATER MACK AVE., SUITE 100, ST CLAIR SHORES, MI 48080-2055
(586) 771-0100
(586) 771-0400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042225
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1350282
—
MI
Enumeration date
08/23/2006
Last updated
01/30/2018
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