Michael R Pruett in Germantown - Internal Medicine

Michael R Pruett - NPI 1871503672

Michael R Pruett is a Internal Medicine in Germantown, Tennessee. Michael R Pruett practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Michael R Pruett is 1871503672. The last update date is 2010-09-01.

Michael R Pruett's current location address is 7550 Wolf River Blvd, Germantown, Tennessee. You can contact this provider via phone number 9017675000 and fax number 9017676000. The mailing address for Michael R Pruett is 7550 Wolf River Blvd, Germantown, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael R Pruett
Address 7550 Wolf River Blvd, Germantown, Tennessee
Phone Number 9017675000
Fax Number 9017676000
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1871503672
Provider Enumeration Date 2006-08-08
Last Updated Date 2010-09-01

Provider Mailing Address Detail

Address 7550 Wolf River Blvd
City Germantown
State Tennessee (TN)
Post Code 381381780
Phone Number 9017675000
Fax Number 9017676000

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 18540
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
127540 TN BLUE CROSS/BLUE SHIELD
123900001 AR --
112528 TN --

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FAQs about Michael R Pruett

What is the unique identifier code issued to Michael R Pruett by the Centers for Medicare & Medicaid Services (CMS)?

The Michael R Pruett has been assigned the NPI (National Provider Identifier) 1871503672. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Michael R Pruett?

The Michael R Pruett is situated at 7550 Wolf River Blvd, in the city of Germantown, state of TN, with the zip code 381381780.

What is Michael R Pruett's specialized field of practice, and what is the corresponding taxonomy classification code?

The Michael R Pruett's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

On what date did the Michael R Pruett receive its 1871503672 assignment from the Centers for Medicare & Medicaid Services?

The Michael R Pruett was assigned its 1871503672 by the Centers for Medicare & Medicaid Services on 2006-08-08.

As of what date were the details pertaining to Michael R Pruett last refreshed?

The information related to the Michael R Pruett, including its address, specialty, and other relevant details, was last updated on 2010-09-01.

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