Individual
DR. DAVID PAUL PROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 E MICHIGAN AVE, SUITE 300, JACKSON, MI 49201
(517) 782-5857
(517) 784-3237
Mailing address
1100 E MICHIGAN AVE, SUITE 300, JACKSON, MI 49201
(517) 782-5857
(517) 784-3237
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301407188
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102754330
—
MI
Enumeration date
07/26/2006
Last updated
06/09/2008
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