Individual
JOEL NEAL MASLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 MICHIGAN ST NE, MC038, GRAND RAPIDS, MI 49503-2515
(616) 391-3050
(616) 391-9150
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
(616) 486-6702
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD034344E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017533200002
—
PA
Enumeration date
06/27/2006
Last updated
01/11/2012
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