Provider Demographics
NPI:1083838411
Name:DEERE, JOSHUA RICHARD (MD)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:RICHARD
Last Name:DEERE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2401 DEMERS AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201
Mailing Address - Country:US
Mailing Address - Phone:701-780-1891
Mailing Address - Fax:701-780-1942
Practice Address - Street 1:1380 S COLUMBIA RD - ALTRU FAMILY MEDICINE CENTER
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201
Practice Address - Country:US
Practice Address - Phone:701-795-2000
Practice Address - Fax:701-780-1942
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NDRL10241207Q00000X
ND10986207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine