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LOGAN SPARKS, PA
PA
Physician Assistant
NPI: 1306436845IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
5601010419(MI)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2020
Contact & Hours
- Address
- 3815 PELHAM ST STE 13
DEARBORN, MI 48124 - Phone
- (313) 722-4683
Quick Facts
- NPI
- 1306436845
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 6
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