Individual
DANIEL HENRY SOTAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT/AMT
Contact information
Practice address
13392 N BADGER GROVE DR, CAMBY, IN 46113-8809
(317) 610-9887
Mailing address
13392 N BADGER GROVE DR, CAMBY, IN 46113-8809
(317) 610-9887
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
12345
TN
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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