Individual
TAYLOR PRUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(161) 625-2720
Mailing address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
(616) 364-4200
(616) 364-7347
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301512279
MI
207L00000X
Anesthesiology Physician
CDR.0005761
CO
Other
Enumeration date
03/23/2020
Last updated
10/29/2025
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