| Doctor Name: | DR. PAUL D PONSTEIN |
| NPI Number: | 1942275540 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 5101117840 |
| Business Practice Address: | 1560 E Sherman Blvd Suite 145 Muskegon, MI - 494441867 |
| Business Phone Number: | 2316723746 |
| Business Fax Number: | 2316726786 |
| Mailing Address: | 1560 E Sherman Blvd, Suite 145 MUSKEGON |
| State: | MI |
| Postal Code: | 494441867 |
| Phone Number: | 2316723746 |
| Fax Number: | 2316726786 |
| NPI Enumeration Date: | 02/17/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 5101117840 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |