Individual
MICHAEL JOHN PUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
29301
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1098020
—
IA
01
—
421417307C5
JOHN DEERE HEALTH INS
IA
01
—
48264
WELLMARK INS PLAN
IA
Enumeration date
05/19/2006
Last updated
02/04/2022
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