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Mr. Donald Graham Prouty, MD
Family Medicine Physician in Ithaca, Michigan
NPI 1194765198

Donald Graham Prouty is a Family Medicine Physician based in Ithaca, MI. Donald Graham Prouty practices in Ithaca, MI and has the professional credentials of MD. The NPI Number for Donald Graham Prouty is 1194765198 and holds a License No. 4301041429 (Michigan).

The current practice location address for Donald Graham Prouty is 820 N Pine River St, Ithaca, MI and can be reached out via phone at 989-875-3722 and via fax at 989-875-3732.

Location: 820 N Pine River St, Ithaca, MI, 48847
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194765198
Provider Name
Donald Graham Prouty
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
820 N Pine River St, Ithaca, MI, 48847
Phone Number
989-875-3722
Fax Number
989-875-3732
Provider Enumeration Date
06/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1009879 01 MI MCLAREN HEALTH PLAN
0802900501 01 MI BCBSM
200000005847 01 MI PHP COMMERCIAL
0983153 01 MI HEALTHPLUS COMMERCIAL
4563131-10 05 MI
institution
Provider Business Practice Location Address Details
Address
820 N Pine River St
City
Ithaca
State
Michigan
Zip
48847
Phone Number
989-875-3722
Fax Number
989-875-3732
person
Provider Business Mailing Address Details
Address
820 N Pine River St
City
Ithaca
State
Michigan
Zip
48847
Phone Number
989-875-3722
Fax Number
989-875-3732
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
4301041429 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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