SearchMichigan208800000X

Colton Prudnick, DO

NPI 1619380334 · on the registry since 2014 · sole proprietor

Practice

Address
4660 S Hagadorn Rd Ste 210
East Lansing, MI 48823
Phone
(517) 355-4205
Fax
(517) 364-8119
Organisation at this address
Dpt Holdings Llc
Msu Health Care Inc
Msu Health Care Inc
Msu Health Care Inc
Msu Health Care Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
141

Additional practice sites

  • 601 John St Ste M-318, Kalamazoo, MI

Registry record

Primary taxonomy
208800000X
208800000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-11-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan