Organization
NAVTEJ S PUREWAL MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAVTEJ S PUREWAL M.D. (PRESIDENT)
(414) 281-6980
Entity
Organization
Contact information
Practice address
3305 S 20TH ST, STE 150, MILWAUKEE, WI 53215-4940
(414) 384-2100
Mailing address
225 S EXECUTIVE DR, BROOKFIELD, WI 53005-4257
(262) 787-4026
(262) 782-6040
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31974300
—
WI
Enumeration date
11/25/2006
Last updated
04/02/2010
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