Individual
TRACY M MIXDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1410 6TH AVE S, CLEAR LAKE, IA 50428-2606
(641) 437-2191
(641) 657-6020
Mailing address
621 S ILLINOIS AVE, SUITE 103, MASON CITY, IA 50401-5489
(641) 428-3041
(641) 428-3059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03243
IA
Other
Enumeration date
08/09/2006
Last updated
07/08/2025
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