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Individual
DR. MARK J PTACEK
Active
Individual
DR. MARK J PTACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
16764
NE
207Q00000X
Family Medicine Physician
Primary
4872
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0123937
MEDICA
NE
01
—
06676
NEBRASKA BCBS
NE
01
—
3859
MIDLANDS CHOICE
NE
01
—
460423930
HUMANA
NE
05
—
46042393011
—
NE
01
—
7988021
AETNA
NE
01
—
9214155
DAKOTA CARE
NE
Enumeration date
07/07/2005
Last updated
07/21/2022
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