Individual
DR. GREGORY E PUNCHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16100 19 MILE RD, CLINTON TOWNSHIP, MI 48038-1148
(248) 858-3051
(248) 858-3022
Mailing address
8775 MILLER RD, CLARKSTON, MI 48348-2545
(248) 858-3051
(248) 858-3022
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
GP077905
MI
207L00000X
Anesthesiology Physician
Primary
4301077905
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4814222-10
—
MI
Enumeration date
07/03/2006
Last updated
06/30/2011
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