Individual
JUSTIN PAUL PURNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 N SEGOE RD APT 509, MADISON, WI 53705-3157
(859) 866-2893
Mailing address
619 N SEGOE RD APT 509, MADISON, WI 53705-3157
(859) 866-2893
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
73462-20
WI
Other
Enumeration date
04/14/2018
Last updated
07/01/2022
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