Organization
GERALD T PRUITT DO PLLC
Active
Organization
GERALD T PRUITT DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MALIA B PRUITT (ADMINISTRATIVE ASSISTANT)
(517) 455-7155
Entity
Organization
Contact information
Practice address
350 WHITEHILLS DR, EAST LANSING, MI 48823-2758
(517) 455-7155
Mailing address
350 WHITEHILLS DR, EAST LANSING, MI 48823-2758
(517) 455-7155
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
5101015307
MI
Other
Enumeration date
02/19/2014
Last updated
03/25/2014
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