Individual
DR. MICHAEL PUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-7024
(414) 955-6205
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-7024
(414) 955-6205
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
336.102195
IL
207RR0500X
Rheumatology Physician
036140859
IL
207RR0500X
Rheumatology Physician
Primary
72734
WI
208M00000X
Hospitalist Physician
336.102195
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730389644
—
WI
Enumeration date
06/13/2013
Last updated
08/28/2020
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