Medrano- Smith, Tracie

Medrano- Smith, Tracie is an individual health care provider with primary practice located at 4174 56Th St Sw , Wyoming MI 49418. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Medrano- Smith, Tracie can be contacted via phone (616) 458-3677.

Contact Information

Primary practice address
4174 56Th St Sw Wyoming MI 49418
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101021683 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5315069986 Michigan

Profile Details

NPI number 1710368782
LBN Legal business name Medrano- Smith, Tracie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2015
Last updated Aug 13th, 2019 - about 5 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.

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