Individual
TODD A PRYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
418 WASHINGTON ST, LAKEVIEW, MI 48850-9806
(989) 352-7211
Mailing address
PO BOX 3567, GRAND RAPIDS, MI 49501-3567
(616) 975-1845
(616) 285-0846
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101009393
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
5101009393
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F71000
BCBSM
MI
05
—
114517587
—
MI
01
—
7000A410180
BCBS
MI
01
—
P00389049
RR MCR
—
Enumeration date
07/24/2006
Last updated
09/23/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us