Township Of Denton Roscommon County
Specialty details in registry · Prudenville, MI
At a glance
1301 W West Branch Rd, Prudenville, MI 48651-9465
NPPES record updated Jul 9, 2026. Public records can lag behind changes at a practice.
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Practice location
1301 W West Branch RdPrudenville, MI 48651-9465
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 3416L0300X
- Enumeration date
- Dec 12, 2006
- Record updated
- Jul 9, 2026
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
341600000X
License reported: 721009 MI
Specialty details in registry
3416L0300X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1301 W West Branch RdPrudenville, MI 48651-9465
- Phone
- (989) 366-8083
- Fax
- (989) 366-6954
Mailing address
PO BOX 17OSSINEKE, MI 497660017
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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