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1629458559
ANDREW NOAH PRUSSACK
JACKSON, MI
NPI
1629458559
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Former Name
ANDREW PRUSSACK
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MI 4301118987)
Enumeration Date
2015-06-05
Last Update Date
2021-03-30
Business Address
Dr. ANDREW NOAH PRUSSACK MD
205 N EAST AVE
JACKSON, MI 49201-1753
Phone number: 517-205-4800
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Mailing Address
Dr. ANDREW NOAH PRUSSACK MD
3621 S STATE ST
ANN ARBOR, MI 48108-1633
Phone number: 734-647-5299
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