Individual
SETH SANDERS PRUSAKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1989 WALDEN DR, GAYLORD, MI 49735-8241
(989) 619-2380
(231) 525-3170
Mailing address
556 E MITCHELL ST, GAYLORD, MI 49735-1621
(989) 619-2380
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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