Individual
TRACY SHERERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
Mailing address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
125.056642
IL
2085R0001X
Radiation Oncology Physician
35-122218
OH
2085R0001X
Radiation Oncology Physician
Primary
MD60863073
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091443
—
OH
Enumeration date
07/05/2009
Last updated
05/05/2021
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