Individual
DR. TRACY M DIEFENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD MRMS CCTP
Contact information
Practice address
816 2ND ST NE, FOSSTON, MN 56542-1519
(218) 637-0399
Mailing address
816 2ND ST NE, FOSSTON, MN 56542-1519
(218) 637-0399
Taxonomy
Speciality
Code
Description
License number
State
1744R1102X
Research Study Specialist
Primary
—
—
Other
Enumeration date
09/16/2021
Last updated
09/18/2025
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