Individual
DR. MICHAEL S PUTHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
809 LAMONT ST, JOHNSON CITY, TN 37604-5453
(423) 926-1171
Mailing address
629 STONEHENGE DR, TIPP CITY, OH 45371-8644
(937) 416-8513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35077226
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2604891
—
OH
Enumeration date
03/03/2006
Last updated
04/09/2022
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