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LOGAN MICHAEL BESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1900 COLUMBUS AVE, BAY CITY, MI 48708-6880
(989) 894-3000
(989) 894-6138
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-4114
(989) 583-1349

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.397415
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
4704257649
MI
367500000X
Certified Registered Nurse Anesthetist
RN625048
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101288
AANA
Enumeration date
10/02/2013
Last updated
11/18/2016
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