Provider Demographics
NPI:1548757248
Name:DURAND, JOSHUA CHRISTOPHER (DC)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:CHRISTOPHER
Last Name:DURAND
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 S ZEEB RD STE 106
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-8324
Mailing Address - Country:US
Mailing Address - Phone:734-274-5107
Mailing Address - Fax:
Practice Address - Street 1:203 S ZEEB RD STE 106
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-8324
Practice Address - Country:US
Practice Address - Phone:734-274-5107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-18
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010610111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2301010610OtherPHYSICIAN'S LICENSE