Individual
PAYTON RILEY PTACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, MPA, MCJ
Contact information
Practice address
1484 N M 52, OWOSSO, MI 48867-1235
(770) 373-5822
(248) 712-4381
Mailing address
2100 HEMMETER RD, SAGINAW, MI 48603-3944
(989) 799-2100
(989) 799-2637
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
03/19/2025
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