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Individual
TRACE MENDLER
Active
Individual
TRACE MENDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
14157
MN
363A00000X
Physician Assistant
14157
MN
363A00000X
Physician Assistant
Primary
PA61106151
WA
363A00000X
Physician Assistant
PA66930
CA
Other
Enumeration date
07/15/2020
Last updated
02/09/2026
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