Individual
RYAN MICHAEL PRUSKO I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 23RD ST, CUYAHOGA FALLS, OH 44223-1404
(330) 971-7225
Mailing address
804 SERVICE RD STE A112, EAST LANSING, MI 48824-7015
(517) 353-9620
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
57.249281
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2019
Last updated
04/18/2021
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