Individual
DR. WILLIAM ALLAN PATCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
306 W WASHINGTON AVE, SUITE 105, JACKSON, MI 49201-2169
(517) 788-8340
Mailing address
2317 SMALLEY ST, JACKSON, MI 49203-3727
(517) 784-5012
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901011397
MI
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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