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Individual

DR. TRACY LYNNE RIDDLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
3988 W ROYAL DR, TRAVERSE CITY, MI 49684-9200
(231) 935-0860
(231) 935-0930
Mailing address
3988 W ROYAL DR, TRAVERSE CITY, MI 49684-9200
(231) 935-0860
(231) 935-0930

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
016737
MI

Other

Enumeration date
04/05/2007
Last updated
02/28/2013
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