Individual
JOSHUA C HAECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
2373 64TH ST SW STE 2700, BYRON CENTER, MI 49315-7978
(616) 465-5910
(616) 465-5911
Mailing address
1111 LEFFINGWELL AVE NE, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704283902
MI
Other
Enumeration date
06/17/2021
Last updated
04/13/2023
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