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Individual

MICHAEL F PRYSAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
22151 MOROSS RD, 313, DETROIT, MI 48236-2167
(313) 343-3494
(313) 343-4932
Mailing address
43800 GARFIELD RD, CLINTON TWP, MI 48038-1136
(800) 848-0202
(586) 226-6949

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301040938
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4340938
MI
Enumeration date
09/19/2005
Last updated
07/13/2007
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