person
Dr. Guy Richard Pupp, DPM
Foot & Ankle Surgery Podiatrist in Southfield, Michigan
NPI 1467428045

Guy Richard Pupp is a Foot & Ankle Surgery Podiatrist based in Southfield, MI and is specialized in Foot & Ankle Surgery. Guy Richard Pupp practices in Southfield, MI and has the professional credentials of DPM. The NPI Number for Guy Richard Pupp is 1467428045 and holds a License No. GP000690 (Michigan).

The current practice location address for Guy Richard Pupp is 22250 Providence Dr Ste 100, Southfield, MI and can be reached out via phone at 248-424-8637 and via fax at 248-424-8663. You can also correspond with Guy Richard Pupp through the mailing address at 22250 PROVIDENCE DR STE 100, SOUTHFIELD, MI - 48075-6209 (mailing address contact number: 248-424-8637).

Location: 22250 Providence Dr Ste 100, Southfield, MI, 48075-6209
person
Provider Profile Details
NPI Number
1467428045
Provider Name
Guy Richard Pupp
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
22250 Providence Dr Ste 100, Southfield, MI, 48075-6209
Phone Number
248-424-8637
Fax Number
248-424-8663
Provider Enumeration Date
02/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4275305 05 MI
479116001 01 MI DME SUPPLIER #
OH 27788 01 MI BCBS
T34213 01 MI HAP PROVIDER #
institution
Provider Business Practice Location Address Details
Address
22250 Providence Dr Ste 100
City
State
Zip
48075-6209
Phone Number
248-424-8637
Fax Number
248-424-8663
person
Provider Business Mailing Address Details
Address
22250 Providence Dr Ste 100
City
State
Zip
48075-6209
Phone Number
248-424-8637
Fax Number
248-424-8663
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
GP000690 (Michigan)
Definition
Definition to come...
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