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Individual

CATHERINE T PUETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 323-6000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301063891
MI
207P00000X
Emergency Medicine Physician
13063
ND
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4301063891
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
930084324
RAILROAD MEDICARE
MI
01
P00397052
RAILROAD MEDICARE
MI
Enumeration date
07/16/2006
Last updated
06/03/2024
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