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Individual

LOGAN MACPHAIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RD

Contact information

Practice address
3337 NEWCASTLE DR SE, GRAND RAPIDS, MI 49508-2582
(906) 286-1649
Mailing address
3337 NEWCASTLE DR SE, GRAND RAPIDS, MI 49508-2582
(906) 286-1649

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86378583
MI

Other

Enumeration date
07/24/2024
Last updated
07/24/2024
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