Individual
PRABHJOT GREWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
677 E MAIN ST, CENTREVILLE, MI 49032-8524
(269) 467-1000
Mailing address
677 E MAIN ST, CENTREVILLE, MI 49032-8524
(269) 467-1000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704352068
MI
Other
Enumeration date
10/14/2019
Last updated
09/23/2022
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