Individual
MICHAEL PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2123 AUBURN AVE. TCH FAMILY MEDICINE, SUITE 235, CINCINNATI, OH 45219
(513) 585-3238
Mailing address
2123 AUBURN AVE, SUITE 340, CINCINNATI, OH 45219-2906
(847) 370-1184
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57.027549
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2016
Last updated
10/14/2018
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