Individual
TRACI COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 473-3561
Mailing address
2003 DAY ST, ANN ARBOR, MI 48104-3605
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.137402
OH
207L00000X
Anesthesiology Physician
Primary
4301063375
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0375767
—
OH
05
—
104074728
—
MI
Enumeration date
06/02/2006
Last updated
01/23/2025
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