Michael D Tracy, M.D.

NPI #1689662595 in Powell, Wyoming

Provider Information

NPI Number: 1689662595
Entity Type: Individual
Name: Michael D Tracy, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Oct 13, 2005
Last Updated: Nov 5, 2009

Practice Location

Address: 450 MOUNTAIN VIEW ST
City: Powell
State: Wyoming
ZIP Code: 82435-2212
Phone: (307) 754-7257

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Pediatrics	208000000X

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