Individual
ABIGAIL O PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1414 W FAIR AVE STE 36, MARQUETTE, MI 49855-2675
(906) 225-3867
Mailing address
1414 W FAIR AVE STE 36, MARQUETTE, MI 49855-2675
(906) 225-3867
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301503272
MI
208M00000X
Hospitalist Physician
Primary
4301503272
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2018
Last updated
08/24/2021
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