Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 470-4349870 | MI |
N | 363L00000X | Nurse Practitioner | APRN.CNP.023503 | OH |
NPI | 1003389081 |
---|---|
Provider Name | Harpreet Kaur Grewal |
First Address | Canton, MI 48188-4005 |
Second Address | Dearborn Heights, MI 48127-4817 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2019 |
Last Update Date | 15/10/2019 |