Organization
THOMAS A TRACY DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS A TRACY D.C., P.C. (PRESIDENT)
(231) 947-2225
Entity
Organization
Contact information
Practice address
874 E 8TH ST, TRAVERSE CITY, MI 49686-2759
(231) 947-2225
(231) 947-8422
Mailing address
874 E 8TH ST, TRAVERSE CITY, MI 49686-2759
(231) 947-2225
(231) 947-8422
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301002273
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B85003
BCBS
MI
Enumeration date
04/29/2008
Last updated
08/05/2008
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