Individual
MRS. TRACEY LUE STRETCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BC-HIS
Contact information
Practice address
1700 HIGHWAY 36 W, #410, ROSEVILLE, MN 55113-4034
(651) 746-0400
(651) 746-0404
Mailing address
1700 HIGHWAY 36 W, #410, ROSEVILLE, MN 55113-4034
(651) 746-0400
(651) 746-0404
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2056
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97D84BE
BCBS PROVIDER NUMBER
MN
Enumeration date
05/22/2007
Last updated
07/08/2007
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