Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYLER ANTHONY PTACEK, M.D.
ActiveTYLER ANTHONY PTACEK, M.D. is a Interventional Vascular Surgery healthcare provider located in RAPID CITY, South Dakota. NPI 1225324791 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · RAPID CITY, SD
Registration Details
- NPI Number
- 1225324791
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2011 (15.151299097679 yrs)
- Last Updated
- Oct 1, 2020
- Licenses
-
6652 (NE)7731 (KS)2016019592 (MO)12138 (SD)
Practice Information
- Address
-
101 E MINNESOTA ST STE 200RAPID CITY, SD, 577017758Browse SD providers · Browse ZIP 57701
- Phone
- 6053423280
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Interventional Vascular Surgery
- Additional Specialty
- Interventional Vascular Surgery
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.