Provider Demographics
NPI:1205096989
Name:SRACIC, MICHAEL KIEL (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:KIEL
Last Name:SRACIC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:USAMEDDAC
Mailing Address - Street 2:2480 LLEWELLYN AVE
Mailing Address - City:FORT GEORGE G MEADE
Mailing Address - State:MD
Mailing Address - Zip Code:20755
Mailing Address - Country:US
Mailing Address - Phone:301-529-9288
Mailing Address - Fax:
Practice Address - Street 1:USAMEDDAC
Practice Address - Street 2:2480 LLEWELLYN AVE
Practice Address - City:FORT GEORGE G MEADE
Practice Address - State:MD
Practice Address - Zip Code:20755
Practice Address - Country:US
Practice Address - Phone:301-677-8392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1159802083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine