JOSHUA S KOOISTRA

GRAND RAPIDS, MI
NPI1730196700
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: MI  5101015003)
Additional Taxonomies207L00000X Anesthesiology
(Licence: MI  5101015003)
Enumeration Date2006-08-02
Last Update Date2012-04-30
Business Address
-- JOSHUA S KOOISTRA DO
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-1680
Mailing Address
-- JOSHUA S KOOISTRA DO
2537 MOMENTUM PL
CHICAGO, IL 60689-5325
Phone number: 616-975-1845