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Individual

MICHAEL D PESEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, ATC

Contact information

Practice address
1705 8TH ST NE, WATERTOWN, SD 57201-6901
(605) 759-2691
Mailing address
1705 8TH ST NE, WATERTOWN, SD 57201-6901
(605) 759-2691

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1269
SD
225100000X
Physical Therapist
6317
MN

Other

Enumeration date
09/21/2005
Last updated
07/08/2007
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