Individual
MICHAEL JOHN PRUEHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
DENTAL SOUTH P A, 800 MARIE AVENUE, SOUTH ST PAUL, MN 55075
(651) 451-1277
(651) 455-8488
Mailing address
DENTAL SOUTH P A, 800 MARIE AVENUE, SOUTH ST PAUL, MN 55075
(651) 451-1277
(651) 455-8488
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9619
MN
Other
Enumeration date
05/09/2007
Last updated
11/25/2019
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