Healthcare Provider Details

I. General information

NPI: 1548717580
Provider Name (Legal Business Name): JOSHUA P JUNE DO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2016
Last Update Date: 03/30/2021
Certification Date: 03/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4052 LEGACY PKWY STE 200
LANSING MI
48911-4285
US

IV. Provider business mailing address

4052 LEGACY PKWY STE 200
LANSING MI
48911-4285
US

V. Phone/Fax

Practice location:
  • Phone: 517-272-9700
  • Fax: 517-272-9706
Mailing address:
  • Phone: 517-272-9700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number5101018709
License Number StateMI

VIII. Authorized Official

Name: DR. JOSHUA PAUL JUNE
Title or Position: DIRECTOR
Credential: D.O.
Phone: 616-550-0211