Individual
JOSHUA MARK KUPERUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 MICHIGAN ST NE STE 2100, GRAND RAPIDS, MI 49503-2526
(616) 391-3777
Mailing address
25 MICHIGAN ST NE STE 2100, GRAND RAPIDS, MI 49503-2526
(616) 391-3777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4351054560
MI
Other
Enumeration date
04/07/2025
Last updated
06/19/2025
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