Individual
MR. JOSHUA MICHAEL PAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
561 SAINT CLAIR AVE NW, GRAND RAPIDS, MI 49534-3418
(616) 550-5521
Mailing address
561 SAINT CLAIR AVE NW, GRAND RAPIDS, MI 49534-3418
(616) 550-5521
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000741
MI
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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