Individual
GERALD T PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
802 W KING ST STE J, OWOSSO, MI 48867-2100
(989) 729-4071
(989) 729-4072
Mailing address
802 W KING ST STE J, OWOSSO, MI 48867-2100
(989) 729-4071
(989) 729-4072
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
5101015307
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356399232
—
MI
Enumeration date
05/04/2006
Last updated
10/16/2024
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