NPI 1154965366
Joshua Phillip
Practice location
- Address
- 21691 Fairway Dr, Southfield, MI 48033-4314
- Phone
- (248) 993-9239
- Mailing address
- PO Box 231, Southfield, MI 48037-0231
Registered specialties
Nursing Home Administrator
Primary
Registry record
- NPI
- 1154965366
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Oct 2019
- Record last updated
- 30 Oct 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.