Individual
LIJI JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
46318 CORDOBA DR, NOVI, MI 48374-2434
(248) 795-9950
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704264705
MI
Other
Enumeration date
12/27/2021
Last updated
06/29/2023
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