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Individual

JOSHUA M FOURNIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3290 N WELLNESS DR, STE 220, HOLLAND, MI 49424-7259
(616) 685-7450
(616) 685-7455
Mailing address
1900 44TH ST SE, KENTWOOD, MI 49508-5008
(616) 685-1808
(616) 685-8099

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008117
MI

Other

Enumeration date
02/02/2017
Last updated
02/02/2017
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