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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARTIN WALTER PRUSS, MD

Active

MARTIN WALTER PRUSS, MD is a Family Medicine healthcare provider located in RUSSIAVILLE, Indiana. NPI 1053363861 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · RUSSIAVILLE, IN

Registration Details

NPI Number
1053363861
Provider Type
Individual
Gender
Male
NPI Issued
May 17, 2006 (20.100148074722 yrs)
Last Updated
Sep 27, 2021
Licenses
12675 (NH)
01073482A (IN)

Practice Information

Address
3309 S 750 W
RUSSIAVILLE, IN, 469799146
Browse IN providers · Browse ZIP 46979
Phone
7658832273
Fax
7658835168
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in RUSSIAVILLE, IN

Name Credential NPI
MARTHA J HOSHAW MD 1275616864
SHERRI C NUSS MD 1174609150
DR. CLINTON PAUL SCRUGGS D.O. 1316187552
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.