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Individual
MIKE TRAXLER
Active
Individual
MIKE TRAXLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9676
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00934V
MEDICARE GROUP
TX
Enumeration date
06/29/2006
Last updated
07/31/2007
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