Individual
TRACY L NIEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2375 EDGEWOOD RD SW, CEDAR RAPIDS, IA 52404-4736
(319) 396-1983
(319) 396-3183
Mailing address
2375 EDGEWOOD RD SW, CEDAR RAPIDS, IA 52404-4736
(319) 396-1983
(319) 396-3183
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33172
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080190689
RR MEDICARE
IA
05
—
1275512113
—
IA
05
—
3175687
—
IA
05
—
5175687
—
IA
Enumeration date
01/10/2006
Last updated
03/05/2014
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