Individual
MISS SUSANNE TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
653 W 8TH ST # FC-12, FACULTY CLINIC 3RD FLOOR, JACKSONVILLE, FL 32209-6511
(904) 244-3903
(904) 244-3870
Mailing address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-6000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
TRN7093
FL
Other
Enumeration date
01/08/2007
Last updated
07/18/2008
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