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1114955945
MICHAEL C. PROSTKO
CHATTANOOGA, TN
NPI
1114955945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TN MD37196)
Enumeration Date
2006-06-29
Last Update Date
2011-01-06
Business Address
-- MICHAEL C. PROSTKO M.D.
2525 DESALES AVE
CHATTANOOGA, TN 37404-1161
Phone number: 423-595-7158
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Mailing Address
-- MICHAEL C. PROSTKO M.D.
PO BOX 11431
CHATTANOOGA, TN 37401-2431
Phone number:
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