Individual
JOSHUA VOLLSTAEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4346 MANDALAY AVE, ROYAL OAK, MI 48073-1621
(810) 434-6139
Mailing address
4346 MANDALAY AVE, ROYAL OAK, MI 48073-1621
(810) 434-6139
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101022390
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
5101022390
MI
207RP1001X
Pulmonary Disease Physician
Primary
5101022390
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538517131
—
MI
Enumeration date
05/25/2016
Last updated
08/04/2022
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