Individual
MS. TRACIE A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
211 N ENGDAHL AVE, OAKLAND, NE 68045-1431
(402) 685-5116
(402) 685-5817
Mailing address
211 N ENGDAHL AVE, OAKLAND, NE 68045-1431
(402) 685-5116
(402) 685-5817
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21447
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03498
BCBS
—
05
—
470783654
—
NE
Enumeration date
08/21/2006
Last updated
08/30/2023
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