Individual
DR. GREGORY EDWARD PUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3270
(217) 383-4116
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036152666
IL
2085R0202X
Diagnostic Radiology Physician
MDR5360
HI
Other
Enumeration date
05/27/2008
Last updated
03/24/2022
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