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Contact Information

RAYMOND D TRACY, DO
6087 E FILMORE RD
WALKERVILLE, MI49459-9344
 Phone: 231-854-7655
 Fax: 231-854-7704
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RAYMOND D TRACY · (Male)

NPI Number 1588664064
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/27/2005
Last updated 02/06/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # RT007455
  • MI Medicaid 4260509
  • MI Other 0855110514 BCBSM NURSING HOME
  • MI Other P00232094 RAIL ROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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