Search › Michigan › 2255A2300X
Justin Logan, AT, ATC
NPI 1962912659 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1247 E Siena Heights Dr
Adrian, MI 49221 - Phone
- (517) 264-7870
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-20
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