Individual
TRACI JEAN STARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
47667 BEACON SQUARE DR, MACOMB, MI 48044-2870
(586) 228-5433
Mailing address
47667 BEACON SQUARE DR, MACOMB, MI 48044-2870
(586) 228-5433
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1029576
MI
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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