NPI | 1609869494 |
---|---|
Other Name | RICK JOSEPH TRACZYK |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OK 194) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: OK 194) |
Enumeration Date | 2005-08-26 |
Last Update Date | 2023-04-03 |