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Individual

MR. JOSEPH BROOKS WHEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
601 JOHN ST, SUITE M-124, KALAMAZOO, MI 49007-5341
(269) 341-7500
(269) 341-7540
Mailing address
601 JOHN ST, SUITE M-124, KALAMAZOO, MI 49007-5341
(269) 341-7500
(269) 341-7540

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
6301015978
MI
103TC0700X
Clinical Psychologist
Primary
6301015978
MI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1992056725
MI
Enumeration date
09/19/2012
Last updated
01/08/2021
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