Individual
DR. JOEL IMPERIAL DE GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1117 S VAN DYKE RD, SUITE 100, BAD AXE, MI 48413-8467
(989) 269-7252
(989) 269-7304
Mailing address
1117 S VAN DYKE RD, SUITE 100, BAD AXE, MI 48413-8467
(989) 269-7252
(989) 269-7304
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
JD091071
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JD091071
LICENSE
MI
Enumeration date
03/12/2007
Last updated
01/27/2011
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