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Individual
TRACY C ORTON
Active
Individual
TRACY C ORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
116144
MO
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
116144
MO
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
5101017139
MI
Other
Enumeration date
02/08/2006
Last updated
10/20/2020
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