Pruchno Medicine, LLC

NPI #1225433675 in Cedar Rapids, Iowa

Provider Information

NPI Number: 1225433675
Entity Type: Organization
Organization Name: Pruchno Medicine, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Oct 28, 2014
Last Updated: Oct 28, 2014

Practice Location

Address: 202 10TH ST SE
Address 2: SUITE 200
City: Cedar Rapids
State: Iowa
ZIP Code: 52403-2414
Phone: (319) 247-3899

Authorized Official

Name: CHARLES J PRUCHNO, M.D.
Title: OWNER / PROVIDER
Phone: (319) 247-3899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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