Michael G Pruner (NPI# 1356472161, PAC ID# 4789772542) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1356472161 |
| PAC ID by PECOS | 4789772542 |
| Professional Enrollment ID | I20141119002511 |
| Full Name | Michael G Pruner |
| Address |
18173 Redwood Hwy Selma OR 97538-9620 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380002 | ASANTE THREE RIVERS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 18173 Redwood Hwy, Selma, OR 97538-9620 |
| Street Address |
18173 REDWOOD HWY |
| City | SELMA |
| State | OR |
| Zip | 97538-9620 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine M Mechling | Family Medicine | 18173 Redwood Hwy, Selma, OR 97538-9732 |
| City | SELMA |
| Zip Code | 97538 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SELMA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Michael G Pruner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.