Individual
JOSEPH C OJIBWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
7572 S SHEPHERD RD, SHEPHERD, MI 48883-9034
(802) 299-9549
Mailing address
7572 S SHEPHERD RD, SHEPHERD, MI 48883-9034
(802) 299-9549
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
18090
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704370738
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1533407
—
TN
Enumeration date
11/01/2013
Last updated
10/08/2024
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