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Individual

GURINDERPREET S GHUMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-5753
(920) 430-4700
Mailing address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-5753
(920) 430-4700

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3961-23
WI

Other

Enumeration date
01/11/2017
Last updated
02/04/2021
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