Organization
DONALD G PROUTY
Active
Other names
Ithaca Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD GRAHAM PROUTY MD (OWNER)
(989) 875-4465
Entity
Organization
Contact information
Practice address
820 N PINE RIVER ST, ITHACA, MI 48847-1118
(989) 875-3722
(989) 875-3732
Mailing address
820 N PINE RIVER ST, ITHACA, MI 48847-1118
(989) 875-3722
(989) 875-3732
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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