Most Relevant Information
Provider Data
| NPI Number: | 1003338898 |
| Provider Name: | JOSHUA PAUL AHLSTROM CPO |
| Entity Type: | Individual |
| Taxonomy Code: | 222Z00000X |
| Specialty: | Orthotist |
| License Number: | CPO2466 |
Most Important Dates
| Enumeration Date: | 07/12/2017 |
| Last Updated: | 07/12/2017 |
Provider Practice Location
1407 E MICHIGAN AVE
JACKSON
MI
492023517
Practice Location Phone/Fax
| Phone: | 5177841142 |
| Fax: |
Provider Mailing Location
1407 E MICHIGAN AVE
JACKSON
MI
492023517
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |