Individual
DR. TRACY S BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6301 UNIVERSITY COMMONS, SUITE 310, SOUTH BEND, IN 46635-1571
(574) 232-1471
(574) 239-8511
Mailing address
6301 UNIVERSITY COMMONS, STE 230, SOUTH BEND, IN 46635-1571
(574) 251-2100
(574) 251-2151
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
10357
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105013Y0NH02
BLUE CROSS BLUE SHIELD
NH
01
—
0704678
UNITED HEALTH CARE
NH
01
—
2690350
CIGNA
NH
05
—
30011688
—
NH
01
—
364352
MVP
NH
01
—
5084658
AETNA
NH
01
—
HL0041
HARVARD PILGRIM
NH
01
—
NH0008644
CHAMPUS
NH
Enumeration date
10/28/2005
Last updated
09/06/2011
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