Individual
DR. TRACY GOETZ HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17705 HUTCHINS DR, MINNETONKA, MN 55345-4145
(952) 401-8300
Mailing address
17705 HUTCHINS DRIVE, SUITE 101, SOUTH LAKE PEDIATRICS, MINNETONKA, MN 55345
(952) 401-8300
(952) 401-8373
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
54821
MN
Other
Enumeration date
04/10/2008
Last updated
06/30/2021
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