MR. SCOT WACK, CMT, NBCA

Technician, Other

Active Individual
NPI: 1871810226

Practice Address

109 NAGONABA ST
Northport, MI 49670

Phone: (231) 386-7708

Specialties

Specialty Code Primary License
Technician, Other 247200000X Yes -

Frequently Asked Questions

NPI 1871810226 is the National Provider Identifier for MR. SCOT WACK, CMT, NBCA, a Technician, Other provider located in Northport, MI. This NPI was enumerated on April 26, 2010.
MR. SCOT WACK, CMT, NBCA practices at 109 NAGONABA ST, Northport, MI 49670.

Quick Facts

NPI
1871810226
Type
Individual
Enumerated
Apr 26, 2010
Last Updated
Apr 26, 2010

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