Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 35-035641 | OH |
NPI | 1003892050 |
---|---|
Provider Name | Dr. Sukhjit Singh Purewal |
First Address | Perrysburg, OH 43551-3522 |
Second Address | Perrysburg, OH 43551-3126 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2005 |
Last Update Date | 08/07/2007 |