Individual
JOSHUA DUVAR KNUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12851 W M 179 HWY, WAYLAND, MI 49348-9318
(877) 377-7322
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301507276
MI
Other
Enumeration date
05/21/2018
Last updated
08/15/2022
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