| Todd A Pryor, DO | |
|
418 Washington St, Lakeview, MI 48850-9806 | |
| (989) 352-7211 | |
| Not Available |
| Full Name | Todd A Pryor |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 418 Washington St, Lakeview, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629090907 | NPI | - | NPPES |
| P00389049 | Other | RR MCR | |
| 114517587 | Medicaid | MI | |
| 0F71000 | Other | MI | BCBSM |
| 7000A410180 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 5101009393 (Michigan) | Primary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 5101009393 (Michigan) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Todd A Pryor, DO Po Box 3567, Grand Rapids, MI 49501-3567 Ph: (616) 975-1845 | Todd A Pryor, DO 418 Washington St, Lakeview, MI 48850-9806 Ph: (989) 352-7211 |
Steven Arne Fahlen, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 418 Washington St, Lakeview, MI 48850 Phone: 989-352-7211 | |
Lawrence W Schenden, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 418 Washington St, Lakeview, MI 48850 Phone: 989-352-7211 | |
Philip E Schumacher, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 418 Washington Ave, Lakeview, MI 48850 Phone: 989-352-7211 |