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Individual

DR. JUSTIN DANIEL HOUSEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
465 FULLER AVE NE STE C, GRAND RAPIDS, MI 49503-1991
(616) 888-5006
Mailing address
465 FULLER AVE NE STE C, GRAND RAPIDS, MI 49503-1991
(616) 888-5006

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301102999
MI
207P00000X
Emergency Medicine Physician
Primary
4301102999
MI

Other

Enumeration date
07/05/2013
Last updated
05/13/2026
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