Individual
JOSHUA PHILLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21691 FAIRWAY DR, SOUTHFIELD, MI 48033-4314
(248) 993-9239
Mailing address
PO BOX 231, SOUTHFIELD, MI 48037-0231
(248) 993-9239
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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