Individual
MR. MICHAEL JEFFREY ALTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
911 N WEST ST STE 2, RALEIGH, NC 27603-1170
(919) 812-2570
Mailing address
9728 CORKTREE CT, WAKE FOREST, NC 27587-4144
(919) 349-3664
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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