Individual
LOGAN JAMES NEUHAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
230 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2550
(616) 774-2822
(616) 391-8665
Mailing address
230 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2550
(616) 774-2822
(616) 391-8665
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
5101028700
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2022
Last updated
07/01/2025
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