Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | A168460 | CA |
N | 207ND0101X | MOHS-Micrographic Surgeon | 75308-20 | WI |
NPI | 1184073801 |
---|---|
Provider Name | Dr. Gaurav Singh |
First Address | Manitowoc, WI 54220-4630 |
Second Address | Milwaukee, WI 53226 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2016 |
Last Update Date | 29/07/2021 |