Robert M Prust MD

NPI 1629099437 - Radiology - 2085R0001X

NPI Details
NPI 1629099437
Gender Male
Enumeration Date 07/21/2006
Last Updated 09/19/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1105 SIXTH STREET
TRAVERSE CITY MI, 49684, US
Phone (231) 935-7100
Fax (231) 935-7126
Business Location
1105 SIXTH STREET
TRAVERSE CITY MI, 49684, US
Phone (231) 935-7100
Fax (231) 935-7126
Toxanomy
Taxonomy Code 2085R0001X
License State Michigan
License Number 050323
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According to our database, Robert M Prust MD NPI is 1629099437, taxonomy code is 2085R0001X and license number is 050323, license state is located at Michigan. Robert M Prust MD physically located at 1105 Sixth Street, Traverse City MI, 49684. NPI Number Robert M Prust MD has the Individual type.

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1629099437 NPI number is provided on an as is basis without warranty of any kind. 1629099437 is maintained by the National Plan & Provider Enumeration System. The contents of Robert M Prust MD are for informational purposes only.