Provider Demographics
NPI:1104147511
Name:SANCHEZ, JOEL MANUEL (MD)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:MANUEL
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:375 APPLE TREE DR
Mailing Address - Street 2:OFFICE OF MEDICAL DIRECTOR
Mailing Address - City:IONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48846-7506
Mailing Address - Country:US
Mailing Address - Phone:616-527-1790
Mailing Address - Fax:517-527-0538
Practice Address - Street 1:375 APPLE TREE DR
Practice Address - Street 2:OFFICE OF MEDICAL DIRECTOR
Practice Address - City:IONIA
Practice Address - State:MI
Practice Address - Zip Code:48846-7506
Practice Address - Country:US
Practice Address - Phone:616-527-1790
Practice Address - Fax:517-527-0538
Is Sole Proprietor?:No
Enumeration Date:2010-06-21
Last Update Date:2015-08-06
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Provider Licenses
StateLicense IDTaxonomies
MI43010968642084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry