MARTY PHILLIP DACK

LANSING, MI
NPI1871686337
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704222015)
Enumeration Date2006-10-02
Last Update Date2010-08-26
Business Address
Mr. MARTY PHILLIP DACK NP
1703 E MICHIGAN AVE
LANSING, MI 48912-2841
Phone number: 517-913-3860
Mailing Address
Mr. MARTY PHILLIP DACK NP
1703 E MICHIGAN AVE
LANSING, MI 48912-2841
Phone number: 517-913-3860