Individual
DR. JOSEPH PAUL VAN ARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11615 HARTEL RD, STE 108, GRAND LEDGE, MI 48837-9165
(517) 627-3281
(517) 627-8722
Mailing address
11615 HARTEL RD, STE 108, GRAND LEDGE, MI 48837-9165
(517) 627-3281
(517) 627-8722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301406591
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-00164
PHYSICIANS HEALTH PLAN
MI
01
—
080B37601
BCBSM
MI
05
—
2683874
—
MI
01
—
5706661
AETNA US HEALTHCARE
MI
Enumeration date
06/14/2005
Last updated
06/04/2012
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