MR. Donald Graham Prouty, M.D.

NPI #1194765198 in Ithaca, Michigan

Provider Information

NPI Number: 1194765198
Entity Type: Individual
Name: MR. Donald Graham Prouty, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jun 7, 2006
Last Updated: Dec 15, 2022

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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