Individual
JOEL JOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2050 N HAGGERTY RD, SUITE 280, CANTON, MI 48187-3795
(734) 844-0800
Mailing address
2050 N HAGGERTY RD, SUITE 280, CANTON, MI 48187-3795
(734) 844-0800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005286
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N20230
MEDICARE GR. NO.
MI
01
—
N20230005
MEDICARE INDIVIDUAL NO.
MI
Enumeration date
11/20/2007
Last updated
11/20/2007
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