Prysak, Michael F

Prysak, Michael F is an individual health care provider with primary practice located at 22151 Moross Rd 313, Detroit MI 48236-2167. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Prysak, Michael F can be contacted via phone (313) 343-3494.

Contact Information

Primary practice address
22151 Moross Rd 313 Detroit MI 48236-2167
Phone: (313) 343-3494
Fax: (313) 343-4932
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301040938 Michigan

Profile Details

NPI number 1275528077
LBN Legal business name Prysak, Michael F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Jul 13th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275528077 NPPES
Michigan MEDICAID 4340938

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