MR. Scot Alexander Wack, CMT, NBCA

NPI #1871810226 in Northport, Michigan

Provider Information

NPI Number: 1871810226
Entity Type: Individual
Name: MR. Scot Alexander Wack, CMT, NBCA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Credential: CMT, NBCA
Enumeration Date: Apr 26, 2010
Last Updated: Apr 26, 2010

Practice Location

Address: 109 NAGONABA ST
City: Northport
State: Michigan
ZIP Code: 49670
Phone: (231) 386-7708

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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