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Individual

DR. SOL A PREBUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10 STANDING ROCK AVE, FORT YATES, ND 58538-8528
(701) 854-8222
Mailing address
10 STANDING ROCK AVE, FORT YATES, ND 58538-8528
(701) 854-8222

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35850
TN
208M00000X
Hospitalist Physician
37819
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64061187
KY
Enumeration date
06/03/2006
Last updated
09/13/2023
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