Individual
DR. JERRY W PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1722 SHAFFER ST, KALAMAZOO, MI 49048-1633
(269) 343-1555
Mailing address
5943 STADIUM DR, KALAMAZOO, MI 49009-3016
(804) 334-2908
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0101239206
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
17033
MS
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35067178
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301100380
MI
Other
Enumeration date
02/28/2006
Last updated
04/09/2015
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