Michael Joseph Puchowicz, MD is a
Pediatrics - Sports Medicine physician based in Lakeside, Arizona. Michael Joseph Puchowicz is licensed to practice in Arizona (license number 44940) and his current practice location is 4830 Highway 260, Suite 102, Lakeside, Arizona. He can be reached at his office (for appointments etc.) via phone at
(928) 537-1040.
NPI number for Michael Joseph Puchowicz is 1134452303 and his current mailing address is 4830 Highway 260, Suite 102, Lakeside, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134452303.
Physician's Profile
Full Name | Michael Joseph Puchowicz |
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Gender | Male |
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Speciality | Pediatrics - Sports Medicine |
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Location | 4830 Highway 260, Lakeside, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134452303
- Provider Enumeration Date: 09/04/2009
- Last Update Date: 04/06/2012
Medical Identifiers
Medical identifiers for Michael Joseph Puchowicz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134452303 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080S0010X | Pediatrics - Sports Medicine | 44940 (Arizona) | Primary |
208000000X | Pediatrics | 44940 (Arizona) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Joseph Puchowicz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michael Joseph Puchowicz, MD 4830 Highway 260, Suite 102, Lakeside, AZ 85929-5845 Ph: (928) 537-1040 | Michael Joseph Puchowicz, MD 4830 Highway 260, Suite 102, Lakeside, AZ 85929-5845 Ph: (928) 537-1040 |
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