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Individual
DR. MICHAEL L. PRYCE
Active
Individual
DR. MICHAEL L. PRYCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
280178
NY
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
35-04-2582-P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04236155
—
NY
05
—
0548401
—
OH
01
—
34-1522369
FEDERAL TAX ID #
OH
01
—
34152236900
WORKERS COMP. #
OH
Enumeration date
07/07/2005
Last updated
05/01/2018
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