Individual
DR. JOHN W PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1240 E 9TH ST, RENO, NV 89512-2964
(775) 323-0478
(775) 789-4437
Mailing address
PO BOX 22040, GREEN BAY, WI 54305-2040
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1299-320
WI
2084P0800X
Psychiatry Physician
15727
MS
2084P0800X
Psychiatry Physician
16290
NV
2084P0804X
Child & Adolescent Psychiatry Physician
15727
MS
2084P0804X
Child & Adolescent Psychiatry Physician
16290
NV
Other
Enumeration date
06/30/2006
Last updated
10/18/2021
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