Dr. Tracy Marie Bacik
Foot & Ankle Surgery
408 Lake St
Roscommon
, Michigan 48653-7663
Dr. Tracy Marie Bacik
Foot & Ankle Surgery
408 Lake St
Roscommon
, Michigan 48653-7663
(989) 275-3338
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Tracy Marie Bacik
- Po Box 949
- Roscommon, MI
- Zip : 48653
- Fax : (989) 275-3338
- Phone : (989) 275-3668
Second Address
- Dr. Tracy Marie Bacik
- 408 Lake St
- Roscommon, MI
- Zip : 48653-7663
- Fax : (989) 275-3338
- Phone : (989) 275-3668
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | 5901002138 | MI |
National Provider Identifier
| NPI | 1023052081 |
|---|---|
| Provider Name | Dr. Tracy Marie Bacik |
| First Address | Roscommon, MI 48653 |
| Second Address | Roscommon, MI 48653-7663 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2006 |
| Last Update Date | 06/06/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4857210410 | BCBS PIN # (01) | |
| 5198720 | (05) | MI |
| V09483 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.