Individual
JUSTIN TIMOTHY MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-6867
Mailing address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-6867
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4351050994
MI
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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