Healthcare Provider Details

I. General information

NPI: 1134197569
Provider Name (Legal Business Name): MICHAEL CHRISTOPHER PREYS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2006
Last Update Date: 06/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1247 SHERMAN ST
STURGIS SD
57785-1504
US

IV. Provider business mailing address

1247 SHERMAN ST
STURGIS SD
57785-1504
US

V. Phone/Fax

Practice location:
  • Phone: 605-720-4520
  • Fax: 605-720-4525
Mailing address:
  • Phone: 605-720-4520
  • Fax: 605-720-4525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number3700
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: