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

MR. SCOT ALEXANDER WACK, CMT, NBCA

Active Sole Proprietor

MR. SCOT ALEXANDER WACK, CMT, NBCA is a Technician, Health Information healthcare provider located in NORTHPORT, Michigan. NPI 1871810226 is currently active in the NPPES registry. Verify at CMS.

Technician, Health Information · NORTHPORT, MI

Registration Details

NPI Number
1871810226
Provider Type
Individual
Gender
Male
NPI Issued
Apr 26, 2010 (16.315129809305 yrs)
Last Updated
Apr 26, 2010
Sole Proprietor
Yes

Practice Information

Address
109 NAGONABA ST
NORTHPORT, MI, 49670
Browse MI providers · Browse ZIP 49670
Phone
2313867708
Primary Specialty
Technician, Health Information
247200000X
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.