Donald G Prouty

NPI #1164309175 in Ithaca, Michigan

Provider Information

NPI Number: 1164309175
Entity Type: Organization
Organization Name: Donald G Prouty
Primary Specialty: Family Medicine
Enumeration Date: Aug 20, 2025
Last Updated: Aug 20, 2025

Practice Location

Address: 820 N PINE RIVER ST
City: Ithaca
State: Michigan
ZIP Code: 48847-1118
Phone: (989) 875-3722

Authorized Official

Name: DONALD GRAHAM PROUTY, MD
Title: OWNER
Phone: (989) 875-4465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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