Joshua Nathanael Vance D.O.

NPI 1649492463 - Internal Medicine - 207R00000X

NPI Details
NPI 1649492463
Gender Male
Enumeration Date 05/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1919 BOSTON ST
GRAND RAPIDS MI, 49506-8888, US
Phone (616) 252-7200
Fax
Business Location
2519 RIDGE TOP DR SE
BYRON CENTER MI, 49315-8888, US
Phone (616) 885-7897
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 5101016861
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According to our database, Dr. Joshua Nathanael Vance D.O. NPI is 1649492463, taxonomy code is 207R00000X and license number is 5101016861, license state is located at Michigan. Joshua Nathanael Vance D.O. physically located at 1919 Boston St, Grand Rapids MI, 49506-8888. NPI Number Joshua Nathanael Vance D.O. has the Individual type.

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1649492463 NPI number is provided on an as is basis without warranty of any kind. 1649492463 is maintained by the National Plan & Provider Enumeration System. The contents of Joshua Nathanael Vance D.O. are for informational purposes only.