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Individual

DR. JOHN R PRADKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
33720 HARPER AVE, SUITE A, CLINTON TWP, MI 48035
(586) 294-5210
(586) 294-0215
Mailing address
33720 HARPER AVE, SUITE A, CLINTON TWP, MI 48035
(586) 294-5210
(586) 294-0215

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
JP010124
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3223681
MI
Enumeration date
01/11/2006
Last updated
12/10/2007
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