| Doctor Name: | MR. JOSHUA ARUN BUSKIRK |
| NPI Number: | 1336521913 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | 5601005602 |
| Business Practice Address: | 9625 Pierce Rd Saginaw Regional Correctional Facility Freeland, MI - 48623 |
| Business Phone Number: | 9896959880 |
| Business Fax Number: | |
| Mailing Address: | 5485 Woodfield Pkwy, GRAND BLANC |
| State: | MI |
| Postal Code: | 48439 |
| Phone Number: | 9895065904 |
| Fax Number: | |
| NPI Enumeration Date: | 06/19/2015 |
| NPI Last Update Date: | 06/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 5601005602 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |