MICHAEL ALEXANDER PTACK

SCOTTSDALE, AZ
NPI1063070126
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175F00000X Naturopath
(Licence: AZ  18-1719)
Enumeration Date2019-06-04
Last Update Date2021-04-22
Business Address
MICHAEL ALEXANDER PTACK ND
14145 N 92ND ST UNIT 1159
SCOTTSDALE, AZ 85260-3713
Phone number: 312-213-4544
Mailing Address
MICHAEL ALEXANDER PTACK ND
14145 N 92ND ST UNIT 1159
SCOTTSDALE, AZ 85260-3713
Phone number: 312-213-4544