Individual
DR. RAYMOND D TRACY
Active
Individual
DR. RAYMOND D TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
RT007455
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0855110514
BCBSM NURSING HOME
MI
05
—
4260509
—
MI
01
—
P00232094
RAIL ROAD MEDICARE
MI
Enumeration date
07/27/2005
Last updated
02/06/2024
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