Individual
BOBBY Z JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1414 W FAIR AVE, SUITE 216, MARQUETTE, MI 49855-2675
(906) 225-4725
Mailing address
1414 W FAIR AVE, SUITE 216, MARQUETTE, MI 49855-2675
(906) 225-4725
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
4301050543
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030520091
BLUE CROSS BLUE SHIELD MI
MI
05
—
2843109
—
MI
Enumeration date
01/30/2006
Last updated
05/20/2008
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