Individual
DR. JOEL NATHAN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-5231
(616) 685-5260
Mailing address
1900 44TH ST SE, KENTWOOD, MI 49508-5008
(616) 685-1808
(616) 685-8099
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
5101019354
MI
2084N0400X
Neurology Physician
Primary
5101019354
MI
Other
Enumeration date
05/18/2011
Last updated
12/13/2021
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