Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Donald G Prouty

Organization Family Medicine Physician · NPI 1164309175

Donald G Prouty is a Family Medicine Physician in Ithaca, Michigan. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

820 N Pine River St
Ithaca, MI 48847-1118
Phone: (989) 875-3722
Fax: (989) 875-3732
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1164309175
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Prouty — Owner · (989) 875-4465
Other names Ithaca Family Practice
NPI enumeratedAugust 20, 2025
Last updated in NPPESAugust 20, 2025
Certification dateJuly 17, 2025
Mailing address820 N Pine River St, Ithaca, MI 48847-1118

Other providers in Ithaca