JONATHAN J PROSTAK

ANN ARBOR, MI
NPI1235229105
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  4301507548)
Additional Taxonomies207R00000X Internal Medicine
(Licence: NY  236840)
Enumeration Date2006-10-13
Last Update Date2024-06-24
Business Address
JONATHAN J PROSTAK MD
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109-5000
Phone number: 734-936-4000
Mailing Address
JONATHAN J PROSTAK MD
3621 S STATE ST
ANN ARBOR, MI 48108-1633
Phone number: 734-647-5299