Provider Demographics
NPI:1801121355
Name:ANDER, TRACY MICHELLE (DO)
Entity type:Individual
Prefix:DR
First Name:TRACY
Middle Name:MICHELLE
Last Name:ANDER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:5400 FRANTZ RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-4144
Mailing Address - Country:US
Mailing Address - Phone:614-544-6210
Mailing Address - Fax:614-544-6370
Practice Address - Street 1:4343 ALL SEASONS DR
Practice Address - Street 2:STE 250
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-1961
Practice Address - Country:US
Practice Address - Phone:614-788-3680
Practice Address - Fax:614-533-0217
Is Sole Proprietor?:No
Enumeration Date:2009-10-15
Last Update Date:2016-04-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH34.0118522084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology