Individual
DR. JULIE KAPLAN PRUSSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24 FRANK LLOYD WRIGHT DR, LOBBY H, ANN ARBOR, MI 48105-9484
(734) 647-5640
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301101277
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301101277
MI
Other
Enumeration date
07/03/2012
Last updated
04/21/2015
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