IndividualActive
Vincent Prusick, M.D.
NPI 1922022888 · Orthopaedic Surgery of the Spine Physician · Traverse City, MI
Provider details
- NPI number
- 1922022888
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 4301044833 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4045 W Royal Dr
Traverse City, MI 49684-8965
Phone: (231) 935-0900
Fax: (231) 935-0308
Approximate (ZIP-level) locationGet directions
Mailing address
4045 W Royal Dr
Traverse City, MI 49684-8965
Additional practice locations (1)
- 3988 W Royal DrTraverse City, MI 49684-9200Phone: (231) 421-1599
Registry dates
- Enumerated
- 2006-07-26
- Last updated
- 2022-02-18
- Certified
- 2022-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.