Individual
RYAN DANIEL PRUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
400 22ND AVE, BROOKINGS, SD 57006-2447
(605) 697-9500
Mailing address
400 22ND AVE, BROOKINGS, SD 57006-2447
(605) 697-9500
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
096109
IA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
249
SD
Other
Enumeration date
06/04/2019
Last updated
08/13/2024
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