Individual
GURUDARSHAN S KHALSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
484 ACADEMY ST, FERNDALE, MI 48220-2821
(248) 541-4834
Mailing address
484 ACADEMY ST, FERNDALE, MI 48220-2821
(248) 541-4834
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301038112
MI
Other
Enumeration date
12/05/2006
Last updated
03/07/2023
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