Individual
SUBIN PUNNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22250 PROVIDENCE DR STE 206, SOUTHFIELD, MI 48075-6210
(248) 662-4333
Mailing address
22250 PROVIDENCE DR STE 206, SOUTHFIELD, MI 48075-6210
(248) 662-4333
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4352001248
MI
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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