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Individual

JOSHUA S BRINKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
2249 WEALTHY ST SE, GRAND RAPIDS, MI 49506-3052
(616) 391-4600
(616) 486-0133
Mailing address
2249 WEALTHY ST SE, GRAND RAPIDS, MI 49506-3052
(616) 391-4600
(616) 486-0133

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4704194120
MI
363LF0000X
Family Nurse Practitioner
Primary
4704194120
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4445058
MI
01
500026313
RAILROAD MEDICARE
MI
01
JB194120
BLUE CROSS BLUE SHIELD
Enumeration date
09/12/2005
Last updated
02/15/2021
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