Individual
DR. DILRAJ SINGH GHUMMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3000
Mailing address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301087925
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301087925
EDUCATIONAL LIMITED LICEN
MI
Enumeration date
02/26/2008
Last updated
02/26/2008
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