Individual
DR. JOHN ANGELO PRAKAPAS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201-2097
(313) 745-8040
Mailing address
1012 BURNS ST, DETROIT, MI 48214-2861
(773) 414-9045
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
4704289403
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704289403
MI
Other
Enumeration date
06/30/2022
Last updated
07/09/2025
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