Individual
CALLY MARIE PRUNTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3955 PARKLAWN AVE STE 120, EDINA, MN 55435-5660
(952) 831-4454
(952) 278-6947
Mailing address
3955 PARKLAWN AVE STE 120, EDINA, MN 55435-5660
(952) 831-4454
(952) 278-6947
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
63079
MN
Other
Enumeration date
04/27/2015
Last updated
09/17/2020
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