Gregory Putalik, MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301050511 Issued in MI

Legal business name

GREGORY PUTALIK, MD PC

Practice address

643 E Lake St Unit 4
Harbor Springs, MI 49740-1240

Phone

(231) 242-4734

Fax

(231) 242-4700

NPI assigned

Feb 16, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gregory C Putalik, MD

Title

Owner

Phone

(231) 242-4700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1922320134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 E LAKE ST UNIT 4",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497401240",
            "telephone_number": "231-242-4734",
            "fax_number": "231-242-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 E LAKE ST UNIT 4",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497401240",
            "telephone_number": "231-242-4734",
            "fax_number": "231-242-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY PUTALIK, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "PUTALIK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-242-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301050511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4081535",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Harbor Springs, MI
• Providers in Harbor Springs, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.