Individual
COLTON C PRUDNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4660 S HAGADORN RD STE 210, EAST LANSING, MI 48823-5353
(517) 355-4205
(517) 364-8119
Mailing address
804 SERVICE RD STE A109B, EAST LANSING, MI 48824-7015
(517) 355-4205
(517) 364-8119
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
5101025083
MI
Other
Enumeration date
06/10/2014
Last updated
11/20/2023
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