Puk, Michael John

Puk, Michael John is an individual health care provider with primary practice located at 909 E San Marnan Drive , Waterloo IA 50702-5611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Puk, Michael John can be contacted via phone (319) 234-2616.

Contact Information

Primary practice address
909 E San Marnan Drive Waterloo IA 50702-5611
Phone: (319) 234-2616
Fax: (319) 234-1939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 29301 Iowa

Profile Details

NPI number 1932153640
LBN Legal business name Puk, Michael John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Feb 4th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932153640 NPPES
Iowa Other 48264 WELLMARK INS PLAN
Iowa MEDICAID 1098020 WELLMARK INS PLAN
Iowa Other 421417307C5 WELLMARK INS PLAN

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