Individual
MR. DONALD GRAHAM PROUTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
820 N PINE RIVER ST, ITHACA, MI 48847
(989) 875-3722
(989) 875-3732
Mailing address
820 N PINE RIVER ST, ITHACA, MI 48847
(989) 875-3722
(989) 875-3732
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301041429
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0802900501
BCBSM
MI
01
—
0983153
HEALTHPLUS COMMERCIAL
MI
01
—
1009879
MCLAREN HEALTH PLAN
MI
01
—
200000005847
PHP COMMERCIAL
MI
05
—
4563131-10
—
MI
Enumeration date
06/07/2006
Last updated
12/15/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us