Mary Susan Pruzinsky
Otolaryngology/Facial Plastic Surgery
2710 Saint Francis Dr Ste 411
Waterloo
, Iowa 50702-5619
Mary Susan Pruzinsky
Otolaryngology/Facial Plastic Surgery
2710 Saint Francis Dr Ste 411
Waterloo
, Iowa 50702-5619
(319) 272-5825
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Mary Susan Pruzinsky
- 2710 Saint Francis Dr Ste 411
- Waterloo, IA
- Zip : 50702-5619
- Fax : (319) 272-5825
- Phone : (319) 272-5000
Second Address
- Mary Susan Pruzinsky
- 2710 Saint Francis Dr Ste 411
- Waterloo, IA
- Zip : 50702-5619
- Fax : (319) 272-5825
- Phone : (319) 272-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 30009 | IA |
National Provider Identifier
| NPI | 1326097296 |
|---|---|
| Provider Name | Mary Susan Pruzinsky |
| First Address | Waterloo, IA 50702-5619 |
| Second Address | Waterloo, IA 50702-5619 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/05/2006 |
| Last Update Date | 02/02/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 56464 | BLUE CROSS BLUE SHIELD (01) | IA |
| F89689 | (02) | IA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.