Individual
MR. GURKANWAL SIDHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2006 HOGBACK RD STE 1, (ST. MARY MERCY OUTPATIENT PSYCHIATRIC SERVICES), ANN ARBOR, MI 48105-9750
(734) 786-3000
Mailing address
109 4TH ST, HICKSVILLE, NY 11801-5407
(516) 395-8867
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301105629
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2014
Last updated
06/30/2020
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