Individual
MICHELLE ANN PUTNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3831 HUGHES AVE, SUITE 504, CULVER CITY, CA 90232-2751
(310) 204-4111
(310) 204-4474
Mailing address
3831 HUGHES AVE, STE 704, CULVER CITY, CA 90232-6839
(310) 204-4111
(310) 204-4474
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A83674
CA
207YS0123X
Facial Plastic Surgery Physician
A83674
CA
207YX0602X
Otolaryngic Allergy Physician
A83674
CA
Other
Enumeration date
11/14/2006
Last updated
03/06/2020
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