DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK J PTACEK, M.D.

Active

Family Medicine · DEADWOOD, SD

Registration Details

NPI Number
1083611958
Provider Type
Individual
Gender
Male
NPI Issued
Jul 7, 2005 (20.791159153609 yrs)
Last Updated
Jul 21, 2022
Licenses
16764 (NE)
4872 (SD)

Practice Information

Address
71 CHARLES ST
DEADWOOD, SD, 577321303
Browse SD providers · Browse ZIP 57732
Phone
6057176431
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in DEADWOOD, SD

Name Credential NPI
THOMAS J GROEGER MD 1942203419
DR. JOHN KENNETH TRONNES MD 1356795108
THOMAS BARRETT 1760986731
MEGAN CATHERINE RUFFCORN DO 1992268684
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.