Individual
JOSEPH RANDALL TRAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
28100 GRAND RIVER AVE STE 313, FARMINGTON HILLS, MI 48336-5970
(947) 521-7150
Mailing address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5151017552
MI
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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