Individual
MISS JASKIRAN PUREWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4201 SAINT ANTOINE ST., 9C-UHC DETROIT MEDICAL CENTER, GRADUATE MEDICAL EDUCATION OFFICE, DETROIT, MI 48201
(313) 745-5146
(313) 993-8501
Mailing address
3439 WOODWARD AVENUE,, UNIT 228, DETROIT, MI 48201
(313) 398-8278
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351053306
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2024
Last updated
10/18/2024
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