Individual
JASMINE JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1414 W FAIR AVE, STE 344, MARQUETTE, MI 49855
(906) 225-3910
(906) 225-4529
Mailing address
4602 DEPT, CAROL STREAM, IL 60122-0021
(906) 225-3910
(906) 225-4529
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
062693
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110095654
RAILROAD MEDICARE
MI
05
—
3138375
—
MI
01
—
381358036011
TRICARE
MI
Enumeration date
11/17/2005
Last updated
04/21/2009
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