Individual
TRISTA JACOBIA PUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO, MS
Contact information
Practice address
44405 WOODWARD AVE, GRADUATE MEDICAL EDUCATION DEPT., PONTIAC, MI 48341-5023
(248) 931-8222
Mailing address
44405 WOODWARD AVE, GRADUATE MEDICAL EDUCATION DEPT., PONTIAC, MI 48341-5023
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5151017624
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5151017624
OSTEOPATHIC PHYSICIAN EDUCATIONAL LIMITED LICENSE
MI
Enumeration date
05/13/2025
Last updated
05/13/2025
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