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Individual

DR. MICHAEL PUTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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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