Individual
MICHAEL ALEXANDER PTACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ND
Contact information
Practice address
14145 N 92ND ST UNIT 1159, SCOTTSDALE, AZ 85260-3713
(312) 213-4544
Mailing address
14145 N 92ND ST UNIT 1159, SCOTTSDALE, AZ 85260-3713
(312) 213-4544
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
18-1719
AZ
Other
Enumeration date
06/04/2019
Last updated
04/22/2021
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