Provider Demographics
NPI:1164468690
Name:TRATE, TONI (DO)
Entity Type:Individual
Prefix:DR
First Name:TONI
Middle Name:
Last Name:TRATE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38215 W 10 MILE RD STE 8
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48335-2866
Mailing Address - Country:US
Mailing Address - Phone:248-474-0955
Mailing Address - Fax:
Practice Address - Street 1:38215 W 10 MILE RD STE 8
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48335-2866
Practice Address - Country:US
Practice Address - Phone:248-474-0955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MITT10018208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP11430001Medicare PIN
MIF04797Medicare UPIN