Individual
JOSHUA HOOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 MACK AVE STE 64100, DETROIT, MI 48201-2466
(313) 832-0650
Mailing address
311 MACK AVE STE 64100, DETROIT, MI 48201-2466
(313) 832-0650
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704276110
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704276110
MI
Other
Enumeration date
09/08/2014
Last updated
06/12/2020
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