| 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 |