Individual
MRS. HELENA PUHALJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
535 S BURDICK ST, KALAMAZOO, MI 49007-5294
(269) 341-8822
(269) 341-7518
Mailing address
535 S BURDICK ST, KALAMAZOO, MI 49007-5294
(269) 341-8822
(269) 341-7518
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002338
MI
363AM0700X
Medical Physician Assistant
5601002338
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386756740
—
MI
01
—
1417961137
BCBSM - BMH
MI
Enumeration date
08/31/2006
Last updated
11/27/2023
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