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Organization
VITALITY HEALTHCARE PC
Active
Organization
VITALITY HEALTHCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES T JOSEPH MD (PRESIDENT)
(269) 323-4473
Entity
Organization
Contact information
Practice address
5717 OAKLAND DR, STE A, PORTAGE, MI 49024-1116
(269) 323-4473
(269) 324-0755
Mailing address
5717 OAKLAND DR, STE A, PORTAGE, MI 49024-1116
(269) 323-4473
(269) 324-0755
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/16/2015
Last updated
10/05/2016
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