Individual
TRACIE KATHRYN MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TM
Contact information
Practice address
22976 QUAMBA ST, BROOK PARK, MN 55007-4674
(763) 691-3746
(320) 679-7045
Mailing address
22976 QUAMBA ST, BROOK PARK, MN 55007-4674
(763) 691-3746
(320) 679-7045
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
02/01/2011
Last updated
04/20/2011
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