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Individual
SARAH TRACY
Active
Individual
SARAH TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
268129
IN
2086S0120X
Pediatric Surgery Physician
Primary
4899
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100289944
—
WI
Enumeration date
04/15/2014
Last updated
12/29/2025
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