Amanda Rose Pung is a Surgical in Decatur, Michigan. Amanda Rose Pung practices all healthcare services and medical treatments related to Surgical. The NPI Number for Amanda Rose Pung is 1699844571. The last update date is 2023-11-27.
Amanda Rose Pung's current location address is 319 W Delaware St, Decatur, Michigan. You can contact this provider via phone number 2694237028 and fax number 2694238282. The mailing address for Amanda Rose Pung is 319 W Delaware St, Decatur, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda Rose Pung |
|---|---|
| Address | 319 W Delaware St, Decatur, Michigan |
| Phone Number | 2694237028 |
| Fax Number | 2694238282 |
| Sole Proprietor | N |
| Credentials | PA C |
NPI Number Detail
| NPI Number | 1699844571 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2023-11-27 |
Provider Mailing Address Detail
| Address | 319 W Delaware St |
|---|---|
| City | Decatur |
| State | Michigan (MI) |
| Post Code | 490451106 |
| Phone Number | 2694237028 |
| Fax Number | 2694238282 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 5601004946 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5390069 | MI | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Amanda Rose Pung by the Centers for Medicare & Medicaid Services?
The Amanda Rose Pung has been assigned the NPI (National Provider Identifier) 1699844571. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Amanda Rose Pung?
The Amanda Rose Pung is physically situated at 319 W Delaware St, in the city of Decatur, state of MI, with the postal code 490451106.
What is Amanda Rose Pung's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Amanda Rose Pung is Surgical, and the taxonomy code that classifies this field of practice is 363As0400X.
When did the Amanda Rose Pung receive its 1699844571?
The Amanda Rose Pung was issued its 1699844571 on 2006-11-07, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Amanda Rose Pung most recently updated or revised?
The information pertaining to Amanda Rose Pung, including its address, specialty, and other relevant details, was last updated or revised on 2023-11-27.
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