Individual
DR. JOHN B PRACYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD, MBA
Contact information
Practice address
575 N SIOUX POINT RD, DAKOTA DUNES, SD 57049-5312
(605) 217-2667
(605) 217-2900
Mailing address
325 PARAMOUNT DR, MAILBOX # 44, RAYNHAM, MA 02767-5199
(508) 821-8556
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
27413
NE
207T00000X
Neurological Surgery Physician
35686
IA
207T00000X
Neurological Surgery Physician
35850
WI
207T00000X
Neurological Surgery Physician
Primary
8903
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1442681
—
IA
05
—
1649216920
—
NE
05
—
1649216920
—
SD
05
—
1649216920
—
WI
Enumeration date
06/22/2006
Last updated
05/11/2016
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