Individual provider · Type 1 NPI
Ryan Daniel Prusa, DPM
Foot & Ankle Surgery Podiatrist · Brookings, SD
NPI number
1902464027
Active
Practice location
400 22nd Ave
Brookings, SD 57006-2447
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 249 (SD) |
| Podiatrist | 213E00000X | 096109 (IA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1902464027
Ryan Daniel Prusa, DPM's National Provider Identifier is 1902464027, issued on Jun 4, 2019. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Brookings, SD. The record was last updated on Aug 13, 2024.