Joel Nathan Phillips D.O.

NPI 1639462039 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1639462039
Gender Male
Enumeration Date 05/18/2011
Last Updated 02/03/2016
Entity Type Individual
Active Over 5 years ago
Practice Location
945 OTTAWA AVE NW
GRAND RAPIDS MI, 49503-1431, US
Phone (616) 732-6204
Fax
Business Location
945 OTTAWA AVE NW
GRAND RAPIDS MI, 49503-1431, US
Phone (616) 732-6204
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Joel Nathan Phillips D.O. NPI is 1639462039, taxonomy code is 390200000X Joel Nathan Phillips D.O. physically located at 945 Ottawa Ave Nw, Grand Rapids MI, 49503-1431. NPI Number Joel Nathan Phillips D.O. has the Individual type.

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1639462039 NPI number is provided on an as is basis without warranty of any kind. 1639462039 is maintained by the National Plan & Provider Enumeration System. The contents of Joel Nathan Phillips D.O. are for informational purposes only.