Tracy Marie Bacik D.P.M

NPI 1023052081 - Podiatrist - 213ES0103X

NPI Details
NPI 1023052081
Gender Female
Enumeration Date 06/16/2006
Last Updated 04/23/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
408 LAKE ST
ROSCOMMON MI, 48653-7663, US
Phone (989) 275-3668
Fax (989) 275-3338
Business Location
P.O. BOX 949
3095 WEST MAPLEHURST ROAD
ROSCOMMON MI, 48653-7663, US
Phone (989) 275-3668
Fax (989) 275-3338
Toxanomy
Taxonomy Code 213ES0103X
License State Michigan
License Number 5901002138
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According to our database, Dr. Tracy Marie Bacik D.P.M NPI is 1023052081, taxonomy code is 213ES0103X and license number is 5901002138, license state is located at Michigan. Tracy Marie Bacik D.P.M physically located at 408 Lake St, Roscommon MI, 48653-7663. NPI Number Tracy Marie Bacik D.P.M has the Individual type.

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1023052081 NPI number is provided on an as is basis without warranty of any kind. 1023052081 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Marie Bacik D.P.M are for informational purposes only.