Individual
DR. PAUL D PONSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1560 E SHERMAN BLVD, SUITE 145, MUSKEGON, MI 49444-1867
(231) 672-3746
(231) 672-6786
Mailing address
1560 E SHERMAN BLVD, SUITE 145, MUSKEGON, MI 49444-1867
(231) 672-3746
(231) 672-6786
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101117840
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101117840
PDP STATE
MI
01
—
PP007840
PDP BCBSMI
MI
Enumeration date
02/17/2006
Last updated
07/09/2007
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