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Individual

JOSUAH CHAVEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
35 MICHIGAN ST NE FL 2, GRAND RAPIDS, MI 49503-2514
(616) 267-1925
(616) 267-1005
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007075
MI
363AS0400X
Surgical Physician Assistant
22643
CA

Other

Enumeration date
10/25/2012
Last updated
05/08/2025
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