Individual
DR. TRACY JON SMART
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
708 BRIDGE ST, PARK RAPIDS, MN 56470-1215
(218) 732-7261
(218) 732-7261
Mailing address
PO BOX 208, PARK RAPIDS, MN 56470-0208
(218) 732-7261
(218) 732-7261
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2466
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2C941SM
BLUE CROSS/BLUE SHIELD
MN
Enumeration date
06/24/2005
Last updated
07/08/2007
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