Individual
TRACY JONKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5435 FELTL RD, MINNETONKA, MN 55343-7983
(952) 857-1504
Mailing address
5435 FELTL RD, MINNETONKA, MN 55343-7983
(952) 857-1504
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
51727
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598978876
—
MN
01
—
930003327
MEDICARE
MN
Enumeration date
05/07/2007
Last updated
02/11/2010
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