Individual
MR. JAMES P PROKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
515 W JEFFERSON ST, PETOSKEY, MI 49770-2223
(231) 348-5622
(231) 348-5625
Mailing address
515 W JEFFERSON ST, PETOSKEY, MI 49770-2223
(231) 348-5622
(231) 348-5625
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601003677
MI
363AS0400X
Surgical Physician Assistant
Primary
5601003677
MI
Other
Enumeration date
07/11/2006
Last updated
11/17/2023
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