Punke, Steven Gustave

Punke, Steven Gustave is an individual health care provider with primary practice located at 1825 Logan Ave , Waterloo IA 50703-1916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Punke, Steven Gustave can be contacted via phone (319) 235-5386.

Contact Information

Primary practice address
1825 Logan Ave Waterloo IA 50703-1916
Phone: (319) 235-5386
Fax: (319) 235-3074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 36995 Iowa

Profile Details

NPI number 1720129133
LBN Legal business name Punke, Steven Gustave
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Oct 18th, 2013 - about 12 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 1720129133 NPPES
Iowa Other 421417307M5 JOHN DEERE HEALTH CARE
Iowa MEDICAID 0763631 JOHN DEERE HEALTH CARE
Iowa Other 31406 JOHN DEERE HEALTH CARE

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