Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL JOSEPH PUCHOWICZ, M.D.
ActiveMICHAEL JOSEPH PUCHOWICZ, M.D. is a Sports Medicine (Pediatrics) healthcare provider located in LAKESIDE, Arizona. NPI 1134452303 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Pediatrics) · LAKESIDE, AZ
Registration Details
- NPI Number
- 1134452303
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 4, 2009 (16.981856518962 yrs)
- Last Updated
- Apr 6, 2012
- Licenses
-
44940 (AZ)44940 (AZ)
Practice Information
- Address
-
4830 HIGHWAY 260SUITE 102LAKESIDE, AZ, 859295845Browse AZ providers · Browse ZIP 85929
- Phone
- 9285371040
- Fax
- 9285371042
- Primary Specialty
-
Sports Medicine (Pediatrics)
2080S0010X
- Additional Specialty
- Pediatrics
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.