Individual
MR. LOGAN HANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1500 S MAIN ST, EATON RAPIDS, MI 48827-1952
(517) 663-2571
Mailing address
301 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-3314
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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