Individual
TRACER OVERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 364-1000
Mailing address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4351051923
MI
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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