Individual
DR. LAURA B PRESCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
322 W HOUGHTON AVE, WEST BRANCH, MI 48661-1264
(989) 345-4700
(989) 345-2991
Mailing address
322 W HOUGHTON AVE, WEST BRANCH, MI 48661-1264
(989) 345-4700
(989) 345-2991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301030939
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104829421
—
MI
01
—
1106593931
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
111045209
RR MEDICARE
MI
Enumeration date
06/23/2006
Last updated
07/01/2013
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