Individual
BETTY J. PRIHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6001 W OUTER DR, SUITE 114, DETROIT, MI 48235-2614
(313) 966-9444
(313) 916-3235
Mailing address
PO BOX 44047, DETROIT, MI 48244-0047
(248) 543-8070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301065390
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11 0F33636 0
BCBSM
MI
Enumeration date
12/01/2006
Last updated
04/30/2008
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