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Individual

JOSHUA DOHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2655 ASHMUN ST, SAULT SAINTE MARIE, MI 49783-3711
(906) 632-9809
Mailing address
97 S 4TH ST, ISHPEMING, MI 49849-2168

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
03/31/2023
Last updated
03/31/2023
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