Organization
ALLEN G. TRAGER, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA M SHEPARD (MANAGER)
(810) 733-3408
Entity
Organization
Contact information
Practice address
1335 S LINDEN RD, SUITE C, FLINT, MI 48532-3420
(810) 733-3408
(810) 733-0984
Mailing address
PO BOX 321218, FLINT, MI 48532-0021
(810) 733-3408
(810) 733-0984
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B511160
BLUE CROSS & BLUE SHIELD
MI
Enumeration date
07/28/2006
Last updated
02/12/2014
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