Individual
MICHAEL C. PROSTKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 595-7158
(423) 702-6986
Mailing address
PO BOX 11431, CHATTANOOGA, TN 37401-2431
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD37196
TN
Other
Enumeration date
06/29/2006
Last updated
01/06/2011
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