Individual
DR. GREGORY C PUTALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
643 E LAKE ST, #4, HARBOR SPRINGS, MI 49740-1239
(231) 242-4734
(231) 242-4700
Mailing address
643 E LAKE ST, # 4, HARBOR SPRINGS, MI 49740-1239
(231) 526-5041
(231) 242-4700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301050511
MI
207Q00000X
Family Medicine Physician
50511
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4081535
—
MI
Enumeration date
05/22/2007
Last updated
08/15/2012
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