Individual
JOSHUA TWIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLC
Contact information
Practice address
11630 FULTON ST E, LOWELL, MI 49331-9426
(616) 481-3784
Mailing address
95 LAMOREAUX DR NE, COMSTOCK PARK, MI 49321-9115
(616) 490-3324
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401016710
MI
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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