Individual
JEFFREY D PUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
4301407190
MI
208600000X
Surgery Physician
Primary
4301407190
MI
2086S0102X
Surgical Critical Care Physician
4301407190
FM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3057482
—
MI
Enumeration date
09/25/2006
Last updated
01/08/2020
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