Individual
PAUL RICHARD JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
145 MICHIGAN ST NE STE 3410, GRAND RAPIDS, MI 49503-2563
(616) 391-9945
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301504720
MI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
4301504720
MI
Other
Enumeration date
06/20/2018
Last updated
09/30/2024
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