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Individual
DR. PRIZY JOB
Active
Individual
DR. PRIZY JOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301106173
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301106173
LICENSE
MI
Enumeration date
05/04/2010
Last updated
04/01/2021
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