Individual
PRATAP C GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 225-3993
(906) 226-3875
Mailing address
2837 US 41 WEST, MARQUETTE, MI 49855-0220
(906) 225-3964
(906) 226-3875
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301045832
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2853179
—
MI
05
—
2853188
—
MI
05
—
2979116
—
MI
05
—
4460804
—
MI
Enumeration date
08/17/2005
Last updated
03/11/2008
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