Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 5101014275 | MI |
NPI | 1043233125 |
---|---|
Provider Name | Dr. Anthony Joslin |
First Address | Rochester Hills, MI 48306-4101 |
Second Address | Rochester, MI 48307-1863 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I44287 | (02) | MI |