Individual
JOSEPH L PUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
916 W 7TH ST, AUBURN, IN 46706-2013
(260) 927-0400
(260) 927-0440
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01057980A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000361857
ANTHEM
IN
01
—
17816
PHYSICIANS HEALTH PLAN
IN
05
—
200472170
—
IN
01
—
P00236348
RAILROAD MEDICARE
IN
Enumeration date
08/09/2005
Last updated
10/17/2022
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