Individual
CHERISH JOY PRUTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
7073 CLYO RD, CENTERVILLE, OH 45459-4816
(937) 435-5857
(937) 912-4960
Mailing address
29 KYLE DR, CEDARVILLE, OH 45314-9580
(937) 767-7291
(937) 767-1302
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.088432
OH
207R00000X
Internal Medicine Physician
55140
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2680755
—
OH
05
—
887642100
—
MN
Enumeration date
08/08/2006
Last updated
01/05/2021
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