Individual
TRACY TIPPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 MAIN ST, LEWISTON, ME 04240-7007
(207) 795-0111
Mailing address
300 MAIN ST, LEWISTON, ME 04240-7007
(207) 795-0111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
015916
ME
Other
Enumeration date
02/03/2006
Last updated
01/05/2011
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