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General NPI Number Information
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NPI Number | 1093203457
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Entity Type | Individual
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Provider Name | JOSHUA DAVID CORTEVILLE MD
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Gender | Male
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Dates
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Enumeration Date | 05/01/2018
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 145 MICHIGAN ST NE STE 2200
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-2562
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Country | US
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Telephone | 616-486-5750
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Fax | 616-486-5785
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Provider Business Mailing Address
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Address Line | 2175 COOLIDGE RD STE 200
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City | EAST LANSING
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State | MI
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Zip | 48823-1379
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Country | US
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Telephone | 517-999-5900
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Fax | 517-999-5901
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 4301508856
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License Number State | MI
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