Organization
GREGORY PUTALIK, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY C PUTALIK MD (OWNER)
(231) 242-4700
Entity
Organization
Contact information
Practice address
643 E LAKE ST UNIT 4, HARBOR SPRINGS, MI 49740-1240
(231) 242-4734
(231) 242-4700
Mailing address
643 E LAKE ST UNIT 4, HARBOR SPRINGS, MI 49740-1240
(231) 242-4734
(231) 242-4700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301050511
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4081535
—
MI
Enumeration date
02/16/2010
Last updated
10/24/2011
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