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

Logan C Hubbard

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215425830

Logan C Hubbard is an Urology in Maplewood, Minnesota. Qualified in 2018, 8 years ago. Practices with Fairview Express Care, a 1,964-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

2945 Hazelwood St Ste 200
Maplewood, MN 55109-1243
Phone: (651) 232-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2799 W Grand Blvd, Detroit, MI 48202-2608 — (313) 916-7026
  • 420 Delaware St Se, Minneapolis, MN 55455-0341 — (612) 273-8400
  • 5200 Fairview Blvd, Wyoming, MN 55092-8013 — (651) 982-7000

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 4301508586 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 390200000X

Record details

NPI number1215425830
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 30, 2018
Last updated in NPPESMay 17, 2024
Certification dateMay 17, 2024
Mailing address1 Ford Pl Ste 3a, Detroit, MI 48202-3450

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

Other providers in Maplewood