# TRACI A ANDERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619911757
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 02003246A | IN | Yes |
| 207Q00000X | Family Medicine Physician | 34008676 | OH | — |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 10/09/2025