Pupp, Guy Richard

Pupp, Guy Richard is an individual health care provider with primary practice located at 22250 Providence Dr Ste 100 , Southfield MI 48075-6209. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Pupp, Guy Richard can be contacted via phone (248) 424-8637.

Contact Information

Primary practice address
22250 Providence Dr Ste 100 Southfield MI 48075-6209
Phone: (248) 424-8637
Fax: (248) 424-8663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X GP000690 Michigan

Profile Details

NPI number 1467428045
LBN Legal business name Pupp, Guy Richard
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Mar 29th, 2018 - about 6 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 1467428045 NPPES
Michigan MEDICAID 4275305
Michigan Other 479116001
Michigan Other OH 27788
Michigan Other T34213

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