Individual
TRACEY IKERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11455 N MERIDIAN ST, SUITE 200, CARMEL, IN 46032-1624
(317) 582-8180
(317) 582-8185
Mailing address
12302 HANCOCK ST, CARMEL, IN 46032-5807
(317) 564-4836
(317) 587-2342
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
01038248A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100196480 A
—
IN
Enumeration date
06/04/2006
Last updated
06/16/2010
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