Individual
STEVEN GUSTAVE PUNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1825 LOGAN AVE, WATERLOO, IA 50703-1916
(319) 235-5386
(319) 235-3074
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 235-5390
(319) 233-1630
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
36995
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0763631
—
IA
01
—
31406
WELLMARK
IA
01
—
421417307M5
JOHN DEERE HEALTH CARE
IA
Enumeration date
02/09/2007
Last updated
10/18/2013
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