Individual
JERALD PURIFOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15777 NORTHLINE RD STE 203, SOUTHGATE, MI 48195-2354
(734) 246-8100
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301051144
MI
2080N0001X
Neonatal-Perinatal Medicine Physician
4301051144
MI
Other
Enumeration date
11/15/2006
Last updated
10/22/2020
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