Individual
MICHAEL R PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7550 WOLF RIVER BLVD, SUITE 102, GERMANTOWN, TN 38138-1780
(901) 767-5000
(901) 767-6000
Mailing address
7550 WOLF RIVER BLVD, SUITE 102, GERMANTOWN, TN 38138-1780
(901) 767-5000
(901) 767-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
018540
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112528
—
TN
05
—
123900001
—
AR
01
—
127540
BLUE CROSS/BLUE SHIELD
TN
Enumeration date
08/08/2006
Last updated
09/01/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us