Individual
MARY SUSAN PRUZINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2710 SAINT FRANCIS DR, STE 411, WATERLOO, IA 50702-5619
(319) 272-5000
(319) 272-5825
Mailing address
2710 SAINT FRANCIS DR, STE 411, WATERLOO, IA 50702-5619
(319) 272-5000
(319) 272-5825
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
30009
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56464
BLUE CROSS BLUE SHIELD
IA
Enumeration date
05/09/2006
Last updated
02/02/2016
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