Individual
CHELSEA PRUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
688 PEACH TREE LN, GROSSE POINTE WOODS, MI 48236
(313) 530-7921
Mailing address
688 PEACH TREE LN, GROSSE POINTE WOODS, MI 48236
(313) 530-7921
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MI
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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