Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Timothy David Logan, DO

Individual provider Cardiovascular Disease Physician · NPI 1477763779

Dr. Timothy David Logan, DO is a Cardiovascular Disease (Cardiology) in Mount Clemens, Michigan. Qualified in 2002, 24 years ago. Practices with McLaren Macomb, a 130-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
24
Licensed in
MI
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1000 Harrington St
Mount Clemens, MI 48043-2920
Phone: (586) 493-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 5101015334 (MI)

Record details

NPI number1477763779
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 23, 2007
Last updated in NPPESSeptember 2, 2007
Mailing address21608 Englehardt St, Saint Clair Shores, MI 48080-2928

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERVENTIONAL CARDIOLOGY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice McLaren Macomb — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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