NPI 1023052081 · live from the CMS NPI Registry
Tracy Marie Bacik, D.P.M
Podiatrist, Foot & Ankle Surgery in Roscommon, MI. National Provider Identifier 1023052081, active.
NPI record
| NPI | 1023052081 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 408 Lake St, Roscommon, MI 48653 |
| Practice phone | 989-275-3668 |
| Mailing address | Po Box 949, Roscommon, MI 48653 |
| Enumerated | June 16, 2006 |
| Last updated | June 6, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 5901002138 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.