Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | 5901002490 | MI |
Y | 213ES0103X | Foot & Ankle Surgery | 5901002490 | MI |
NPI | 1154663235 |
---|---|
Provider Name | Dr. Radu Dan Purtuc |
First Address | Clinton Township, MI 48038-6308 |
Second Address | Clinton Township, MI 48038-6308 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2013 |
Last Update Date | 08/12/2020 |