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Search › Michigan › 1041C0700X

Logan Fish

NPI 1851926307 · on the registry since 2020

Practice

Address
2880 Mission Dr
Shelbyville, MI 49344
Phone
(732) 545-6335
Organisation at this address
Match-E-Be-Nash-She-Wish Band Of Pottawatomi Indians
Match-E-Be-Nash-She-Wish Band Of Pottawatomi Indians
Match-E-Be-Nash-She-Wish Band Of Pottawatomi Indians
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
374J00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-02-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan