Individual
DYVEKE PATRICE PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 353-5222
Mailing address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 918-3106
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01098225A
IN
2084N0400X
Neurology Physician
036128106
IL
2084N0400X
Neurology Physician
55087
TN
2084N0400X
Neurology Physician
A112674
CA
Other
Enumeration date
04/24/2008
Last updated
01/05/2026
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