IndividualActive
Amanda Logsdon, PA-C
NPI 1235790353 · Physician Assistant · Wyoming, MI
Provider details
- NPI number
- 1235790353
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5601009486 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5838 Metro Way Sw
Wyoming, MI 49519-9619
Phone: (616) 249-5300
Approximate (ZIP-level) locationGet directions
Mailing address
5838 Metro Way Sw
Wyoming, MI 49519-9619
Registry dates
- Enumerated
- 2019-06-28
- Last updated
- 2024-09-27
- Certified
- 2024-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.