Tracy, Michael D

Tracy, Michael D is an individual health care provider with primary practice located at 450 Mountain View St , Powell WY 82435-2212. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Tracy, Michael D can be contacted via phone (307) 754-7257.

Contact Information

Primary practice address
450 Mountain View St Powell WY 82435-2212
Phone: (307) 754-7257
Fax: (307) 754-7217
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 6739A Wyoming
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 6739A Wyoming

Profile Details

NPI number 1689662595
LBN Legal business name Tracy, Michael D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Nov 5th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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