Provider Demographics
NPI:1942692363
Name:PALKA, JOSHUA KENNETH (DO)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:KENNETH
Last Name:PALKA
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Gender:M
Credentials:DO
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Mailing Address - Street 1:20952 E 12 MILE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48081-3203
Mailing Address - Country:US
Mailing Address - Phone:586-771-4820
Mailing Address - Fax:586-771-6620
Practice Address - Street 1:620 BYRON RD STE 1201
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843
Practice Address - Country:US
Practice Address - Phone:517-545-6548
Practice Address - Fax:517-545-6616
Is Sole Proprietor?:No
Enumeration Date:2015-02-22
Last Update Date:2021-07-30
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Provider Licenses
StateLicense IDTaxonomies
MO2020020218208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology