Individual
GAGAN PREET KAUR DHALIWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGACNP-BC
Contact information
Practice address
45418 GLENGARRY BLVD, CANTON, MI 48188-3001
(734) 837-3074
Mailing address
45418 GLENGARRY BLVD, CANTON, MI 48188-3001
(734) 837-3074
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704311497
MI
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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