Organization
GURSHARN S DOSANJH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GURSHARN SINGH DOSANJH MD (DR)
(616) 531-1871
Entity
Organization
Contact information
Practice address
3181 PRAIRIE ST SW, SUITE 101B, GRANDVILLE, MI 49418-2097
(616) 531-1871
(616) 531-7323
Mailing address
3181 PRAIRIE ST SW, SUITE 101B, GRANDVILLE, MI 49418-2097
(616) 531-1871
(616) 531-7323
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
GD046835
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104798002
—
MI
01
—
1104101502
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/24/2006
Last updated
05/20/2009
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