DR. Tracie Vesta Burch, M.D.

NPI #1649494956 in South Lyon, Michigan

Provider Information

NPI Number: 1649494956
Entity Type: Individual
Name: DR. Tracie Vesta Burch, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Apr 11, 2007
Last Updated: Jul 23, 2007

Practice Location

Address: 210 N LAFAYETTE ST
City: South Lyon
State: Michigan
ZIP Code: 48178-2048
Phone: (248) 437-1744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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