Individual
DR. PHAWANJIT KAUR DEMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(414) 219-5091
Mailing address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101018396
MI
390200000X
Student in an Organized Health Care Education/Training Program
5101018396
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100070066
—
WI
Enumeration date
07/14/2009
Last updated
11/14/2023
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