Individual
THOMAS R. PUETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12203 CORPORATE PKWY, MEQUON, WI 53092-3388
(262) 387-8200
(262) 387-8271
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
32359
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31770900
—
WI
01
—
P00465809
RR MEDICARE
WI
Enumeration date
07/04/2006
Last updated
10/07/2025
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