Individual
JOHN CLEMENS PUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
423 E MAIN ST, CARSON CITY, MI 48811-9741
(989) 584-6320
(517) 364-9130
Mailing address
1879 CIMARRON DR, OKEMOS, MI 48864-3811
(517) 349-9240
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301038199
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1960915
—
MI
01
—
2003301032
BLUE SHIELD IDENTIFIER
MI
Enumeration date
09/22/2005
Last updated
12/09/2019
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