Individual
GURBAHAR SINGH SIDHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
49063 GAVIOTA LN, MACOMB, MI 48044-1164
(586) 822-0007
Mailing address
35745 N GRANDVIEW CT, FARMINGTON HILLS, MI 48335-2414
(214) 208-1403
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014522
MI
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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