Individual
DR. MICHAEL J RACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
263 S MAIN ST, MEMPHIS, TN 38103-3907
(901) 505-2017
(662) 510-0596
Mailing address
263 S MAIN ST, MEMPHIS, TN 38103-3907
(901) 505-2017
(662) 510-0596
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
17682
MS
2084P0800X
Psychiatry Physician
17682
MS
2084P0800X
Psychiatry Physician
Primary
52844
TN
Other
Enumeration date
07/13/2006
Last updated
07/13/2020
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