Individual
KIM MARIE PUTERBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 286-7592
Mailing address
11000 EUCLID AVE, CLEVELAND, OH 44106-1714
(216) 286-7592
(216) 286-7592
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
35123109
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12708
B/C
—
05
—
8912708
—
NC
Enumeration date
11/18/2005
Last updated
12/14/2020
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