Individual
EVAN PRUSISZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16301 ELLIOTT PKWY, WILLIAMSPORT, MD 21795, WILLIAMSPORT, MD 21795
(240) 313-3800
Mailing address
468 HAYSTACK DR, NEWARK, DE 19711
(302) 518-0626
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MD
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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