DONALD G PROUTY

ITHACA, MI
NPI1164012019
Entity TypeOrganization
Authorized ContactDONALD G PROUTY
Owner
989-330-1492
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2021-01-25
Last Update Date2021-02-05
Business Address
DONALD G PROUTY
820 N PINE RIVER ST
ITHACA, MI 48847-1118
Phone number: 989-330-1492
Mailing Address
DONALD G PROUTY
820 N PINE RIVER ST
ITHACA, MI 48847-1118
Phone number: 989-330-1492
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