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Individual

DR. MICHAEL E TRAKTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1721 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801-3637
(906) 774-1313
Mailing address
PO BOX 549, IRON MOUNTAIN, MI 49801-0549
(906) 776-5665

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101014843
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114957486
MI
05
1356325740
MI
05
4622125
MI
01
5101014843
MICHIGAN LICENSE NUMBER
MI
Enumeration date
11/30/2005
Last updated
11/25/2009
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