Individual
JODI A.B. PUNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10 TOWER DR, SUN PRAIRIE, WI 53590-1239
(608) 825-3500
(608) 825-3786
Mailing address
10 TOWER DR, SUN PRAIRIE, WI 53590-1239
(608) 825-3500
(608) 825-3786
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43375-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225148471
—
WI
Enumeration date
08/30/2006
Last updated
11/13/2020
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