Individual provider · NPI-1
Tony Purkal, RN
Registered Nurse · West Bloomfield, MI
NPI number1265798813
StatusActive
Last updated in NPPESMay 17, 2025
Details
- NPI
- 1265798813
- Entity type
- Individual (NPI-1)
- Name
- Tony Purkal
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2012
- Certification date
- May 17, 2025
- Last updated
- May 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 4704419970 | MI | Yes |
| 183700000X | Pharmacy Technician | 5303049912 | MI |
Practice location
6777 W Maple RdWest Bloomfield, MI 48322-3013
Phone 248-325-0914
Mailing address
633 Emerson StEvanston, IL 60208-0844
Phone 847-491-2144 · Fax 847-467-6869
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