Individual
MARY ELLEN PULS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
36333 HARPER AVE, CLINTON TWP, MI 48035-2958
(586) 792-8877
(586) 792-8876
Mailing address
36539 HARPER AVE, CLINTON TOWNSHIP, MI 48035-2012
(586) 792-8877
(586) 792-8876
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101008465
MI
207R00000X
Internal Medicine Physician
MP008465
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3156767
—
MI
Enumeration date
05/15/2006
Last updated
05/14/2021
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