Provider Demographics
NPI:1336521913
Name:BUSKIRK, JOSHUA ARUN (PA)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:ARUN
Last Name:BUSKIRK
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5485 WOODFIELD PKWY
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439
Mailing Address - Country:US
Mailing Address - Phone:989-506-5904
Mailing Address - Fax:
Practice Address - Street 1:9625 PIERCE RD
Practice Address - Street 2:SAGINAW REGIONAL CORRECTIONAL FACILITY
Practice Address - City:FREELAND
Practice Address - State:MI
Practice Address - Zip Code:48623
Practice Address - Country:US
Practice Address - Phone:989-695-9880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-19
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5601005602363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care