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NPI Code Detail

MEDICARE: DR. DENNIS M JOY M.D.

MEDICARE: DR. DENNIS M JOY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianDJ033990MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922090547
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DENNIS M JOY M.D.
Provider Business Mailing Address
First Line : 14705 W UPRIGHT ST
Second Line :
City : CHARLEVOIX
State : MI
Zip : 49720-1949
Country : US
Telephone Number : 231-547-1308
Fax Number : 231-392-7332
Provider Business Practice Location Address
First Line : 14705 W UPRIGHT ST
Second Line :
City : CHARLEVOIX
State : MI
Zip : 49720-1949
Country : US
Telephone Number : 231-547-1308
Fax Number : 231-392-7332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2005
Last Update Date : 05/04/2021

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Directions to “ DR. DENNIS M JOY M.D.” Practice Location

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