MR. NP Marty Phillip Dack, NPI 1871686337
Family Nurse Practitioner in Lansing, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1871686337
NPI Entity Type Individual
Provider Name MR. NP Marty Phillip Dack
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1703 E Michigan Ave, Lansing, MI, US
Provider Mailing Address 1703 E Michigan Ave, Lansing, MI, US, 489122841
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

363LF0000X

Taxonomy Name Family Nurse Practitioner
Classification

Nurse Practitioner

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. 4704222015
License State MI
Description Definition to come...

Business Address

MR. NP Marty Phillip Dack
1703 E Michigan Ave

Lansing, MI, US

Phone: 517-913-3860
Fax: 517-484-6864

Mailing Address

MR. NP Marty Phillip Dack
1703 E Michigan Ave
Lansing, MI, US
ZIP 489122841
Phone: 517-913-3860
Fax: 517-484-6864

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1057822 MI MCLAREN HEALTH PLAN-COMMERCIAL 01
200000006547 MI PHP FAMILYCARE 01
4950304 MI MEDICAID 05
5008702500 MI BLUE CROSS BLUE SHILED 01
P00367059 MI RAILROAD MEDICARE 01
1057822 MI MCLAREN HEALTH ADVANTAGE 01
1057822 MI MCLAREN HEALTH PLAN-MEDICAID 01
7952506 MI AETNA 01
N55170013 MI MEDICARE PLUS BLUE 01
200000006547 MI PHP 01

Other Providers in MI, US

NPI Name Taxonomy Address

1659096923

Rafa Therapies

Organization

Rehabilitation Hospital Unit

4745 Michigan Ave

Detroit, MI

1649715194

Leah West

Individual

Family Nurse Practitioner

1 Genesys Pkwy

Grand Blanc, MI

1942923867

MRS. Dayna Calka

Individual

Mental Health Counselor

2399 E Walton Blvd

Auburn Hills, MI

1619225489

DR. PSYD, MPH Shervin Tehrani-rad

Individual

Clinical Psychologist

415 Main St Ste A

Saint Joseph, MI

1770990392

DR. PSYD Amreeta Gill

Individual

Clinical Psychologist

415 Main St Ste A

Saint Joseph, MI

1144940149

Mackenzie Louise Meredith

Individual

Family Nurse Practitioner

1402 W 14 Mile Rd

Clawson, MI

1881058709

DR. M.D., M.S. Marco Antonio Peterson JR.

Individual

Family Medicine Physician

1101 W University Dr

2 South

Rochester, MI

1053804146

PT Esther Karunakar

Individual

Physical Therapist

6711 Westpointe Dr

Troy, MI

1033179189

MD Sailaja Yadavalli

Individual

Diagnostic Radiology Physician

3601 W 13 Mile Rd

Royal Oak, MI

1205896263

MD Jeffery Wong

Individual

Diagnostic Radiology Physician

44201 Dequindre

Troy, MI

1639371859

MRS. P.A.-C Sarah Zukowski Wilhelm

Individual

Physician Assistant

3601 W 13 Mile Rd

Royal Oak, MI

1164482253

MD Bridget Wiater

Individual

Diagnostic Radiology Physician

3601 W 13 Mile Rd

400 Fsc-pcs

Royal Oak, MI

1699735696

MD Robert Weinfeld

Individual

Diagnostic Radiology Physician

44201 Dequindre Rd

Troy, MI

1164482139

M.D. Ann E Swinford

Individual

Diagnostic Radiology Physician

3601 W 13 Mile Rd

Royal Oak, MI

1215568928

Lindsay Essig

Individual

Behavioral Analyst

1913 Cambridge Dr

Kalamazoo, MI

1821453663

LPC Jonathan Hart

Individual

Professional Counselor

52188 Van Dyke Ave Ste 300

Shelby Township, MI

1952958894

DDS, MS Suhaib Alqawasmeh

Individual

General Practice Dentistry

30090 23 Mile Rd

Chesterfield, MI

1205454402

Alexis K Willmore

Individual

Physician Assistant

3950 Hollywood Rd Ste 280

Saint Joseph, MI

1841221108

DR. DO, MPH Jimmy Wayne Brandon

Individual

Preventive Medicine/Occupational Environmental Medicine Physician

G-3100 Van Slyke Road

General Motors Health Services / Flint Assembly

Flint, MI

1891221545

Logan Morse

Individual

Pharmacist

7343 Oakhaven Ct Ne

Ada, MI

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