Individual
DR. MARK WILFRED PULS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
311 LONG RAPIDS PLZ, ALPENA, MI 49707-1375
(989) 354-5717
(989) 356-6526
Mailing address
311 LONG RAPIDS PLZ, PO BOX 535, ALPENA, MI 49707-1375
(989) 354-5717
(989) 356-6526
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301403324
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041029
BLUE CROSS PIN
MI
05
—
3070608
—
MI
05
—
3396665
—
MI
05
—
3396683
—
MI
Enumeration date
11/29/2006
Last updated
10/24/2007
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