Individual
DR. KEVIN WILLIAM TREACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
324 W SUPERIOR ST, 800 MEDICAL ARTS, DULUTH, MN 55802-1701
(218) 249-3570
(218) 722-8582
Mailing address
324 W SUPERIOR ST, 800 MEDICAL ARTS, DULUTH, MN 55802-1701
(218) 249-3570
(218) 722-8582
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
28594
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337587100
—
MN
Enumeration date
07/04/2006
Last updated
12/08/2020
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