Individual
DR. ELLIOT IRWIN TRACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6466 HUMMINGBIRD LANE, EDEN PRAIRIE, MN 55346-1829
(952) 974-0607
Mailing address
6466 HUMMINGBIRD LANE, EDEN PRAIRIE, MN 55346-1829
(952) 974-0607
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
#23190
MN
Other
Enumeration date
05/13/2010
Last updated
05/20/2010
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