Mark J Ptacek M.D.

NPI 1083611958 - Family Medicine - 207Q00000X

NPI Details
NPI 1083611958
Gender Male
Enumeration Date 07/07/2005
Last Updated 09/04/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
555 E JOHN ST
ONEILL NE, 68763-1355, US
Phone (402) 336-4113
Fax
Business Location
500 E ADAMS ST
ONEILL NE, 68763-1540, US
Phone (402) 336-4131
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Nebraska
License Number 16764
Remove 1083611958 NPI Number
 

According to our database, Dr. Mark J Ptacek M.D. NPI is 1083611958, taxonomy code is 207Q00000X and license number is 16764, license state is located at Nebraska. Mark J Ptacek M.D. physically located at 555 E John St, Oneill NE, 68763-1355. NPI Number Mark J Ptacek M.D. has the Individual type.

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1083611958 NPI number is provided on an as is basis without warranty of any kind. 1083611958 is maintained by the National Plan & Provider Enumeration System. The contents of Mark J Ptacek M.D. are for informational purposes only.