IndividualActive
Logan Fulk
NPI 1265139380 · Prosthetist · Grayling, MI
Provider details
- NPI number
- 1265139380
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1680 Hartwick Pines Rd
Grayling, MI 49738-9237
Phone: (989) 344-2002
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Huntington Dr
Midland, MI 48640-2197
Registry dates
- Enumerated
- 2023-02-09
- Last updated
- 2023-02-09
- Certified
- 2023-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.