Provider Demographics
NPI:1053431007
Name:WESTWOOD, JOE ALBERT
Entity type:Individual
Prefix:DR
First Name:JOE
Middle Name:ALBERT
Last Name:WESTWOOD
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:JOE
Other - Middle Name:ALBERT
Other - Last Name:WESTWOOD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:6162 NICHOLS RD
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:MI
Mailing Address - Zip Code:48854-9519
Mailing Address - Country:US
Mailing Address - Phone:517-694-6315
Mailing Address - Fax:
Practice Address - Street 1:6162 NICHOLS RD
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:MI
Practice Address - Zip Code:48854-9519
Practice Address - Country:US
Practice Address - Phone:517-694-6319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6312207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine