Individual
RUPI PUREWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OFFICE MANAGER
Contact information
Practice address
3305 S 20TH ST STE 160, MILWAUKEE, WI 53215-4941
(414) 509-8826
(414) 509-8827
Mailing address
1035 FOXKIRK DR, BROOKFIELD, WI 53045-3739
(262) 510-3874
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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