Individual
TRACY LYNN DOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
450 EASTVOLD AVE, ORTONVILLE, MN 56278-1133
(320) 839-6157
(320) 839-3851
Mailing address
450 EASTVOLD AVE, ORTONVILLE, MN 56278-1252
(320) 839-6157
(320) 839-3851
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3082
MN
363LF0000X
Family Nurse Practitioner
R32847
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245663657
—
MN
Enumeration date
08/21/2013
Last updated
02/28/2024
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