| Doctor Name: | MR. JOSEPH L GAGE |
| NPI Number: | 1184789737 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPN |
| License Number: | 4703077967 |
| Business Practice Address: | 1450 Leonard St Ne Grand Rapids, MI - 495055515 |
| Business Phone Number: | 6167748789 |
| Business Fax Number: | 6164757570 |
| Mailing Address: | 736 Union Ave Ne, GRAND RAPIDS |
| State: | MI |
| Postal Code: | 495031732 |
| Phone Number: | 6167420185 |
| Fax Number: | 6168975954 |
| NPI Enumeration Date: | 12/26/2006 |
| NPI Last Update Date: | 05/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 164W00000X |
| License Number: | 4703077967 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Licensed Practical Nurse |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |