Individual
DR. GURPRAKASH SINGH GREWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3535 S JEFFERSON AVE, SUITE 314, SAINT LOUIS, MO 63118-3930
(314) 772-5070
Mailing address
3535 S JEFFERSON AVE, SUITE 314, SAINT LOUIS, MO 63118-3930
(314) 772-5070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD36667
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202286035
—
MO
Enumeration date
04/12/2007
Last updated
07/08/2007
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