Brandenburg, Tracy Renee
Brandenburg, Tracy Renee is an individual health care provider with primary practice located at 2919 Wilder Rd , Bay City MI 48706-9299. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Brandenburg, Tracy Renee can be contacted via phone (989) 671-5700.Contact Information
Primary practice address
2919 Wilder Rd
Bay City MI 48706-9299
Phone: (989) 671-5700
Fax: (989) 671-5706
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301078893 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301078893 | Michigan |
Profile Details
| NPI number | 1700989704 |
|---|---|
| LBN Legal business name | Brandenburg, Tracy Renee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Oct 26th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700989704 | NPPES |
| Michigan | MEDICAID | 4368262 |
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