Individual provider · Type 1 NPI
Marty Phillip Dack, NP
Family Nurse Practitioner · Lansing, MI
NPI number
1871686337
Active
Practice location
1703 E Michigan Ave
Lansing, MI 48912-2841
Fax (517) 484-6864
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704222015 (MI) |
Family Nurse Practitioner: Definition to come...
4 other providers at this address
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About NPI 1871686337
Marty Phillip Dack, NP's National Provider Identifier is 1871686337, issued on Oct 2, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lansing, MI. The record was last updated on Aug 26, 2010.