Most Relevant Information
Provider Data
| NPI Number: | 1003274283 |
| Provider Name: | ALEXIS MAE PUNCHES NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LC0200X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704239782 |
Most Important Dates
| Enumeration Date: | 02/03/2016 |
| Last Updated: | 05/31/2016 |
Provider Practice Location
1500 EAST MEDICAL CENTER DR
12TH FLOOR C.S. MOTT CHILDRENS HOSPITAL RM 525
ANN ARBOR
MI
481094280
Practice Location Phone/Fax
| Phone: | 7347645302 |
| Fax: |
Provider Mailing Location
3621 SOUTH STATE STREET
700 KMS PLACE
ANN ARBOR
MI
48108
Provider Mailing Phone/Fax
| Phone: | 7349362047 |
| Fax: |