DR. Michael Jarvis Prevost, MD

NPI #1689735698 in Ishpeming, Michigan

Provider Information

NPI Number: 1689735698
Entity Type: Individual
Name: DR. Michael Jarvis Prevost, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Dec 13, 2006
Last Updated: Dec 10, 2018

Practice Location

Address: 901 LAKESHORE DR
City: Ishpeming
State: Michigan
ZIP Code: 49849-1367
Phone: (906) 485-2687

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Family Medicine	207Q00000X	Primary

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