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Individual

DR. MICHELE K. TRAZKOVICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
17 SUNDAY CT., REISTERSTOWN, MD 21136-6111
(410) 526-2809
(410) 526-2809
Mailing address
17 SUNDAY CT., REISTERSTOWN, MD 21136-6111
(410) 526-2809
(410) 526-2809

Taxonomy

Speciality
Code
Description
License number
State
2084H0002X
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
D0035400
MD
2084P0800X
Psychiatry Physician
Primary
D0035400
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9212 MK
BLUE CROSS BLUE SHIELD
MD
Enumeration date
05/01/2007
Last updated
02/01/2008
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