Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Simon J Pullukat, MD

Individual provider Family Medicine Physician · NPI 1881702322

Dr. Simon J Pullukat, MD is a Family Medicine Physician in Pontiac, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

35 S Johnson Ste 2-D
Pontiac, MI 48341
Phone: (268) 338-0860
Fax: (268) 338-6013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301035015 (MI)

Record details

NPI number1881702322
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 25, 2006
Last updated in NPPESFebruary 3, 2016
Mailing address1075 N Edgar Rd, Mason, MI 48854-9584

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