Individual
DR. TRACIE KAY FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
437 MAIN ST, RED WING, MN 55066-2324
(651) 388-8113
(651) 388-8114
Mailing address
437 MAIN ST, RED WING, MN 55066-2324
(651) 388-8113
(651) 388-8114
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4442
MN
111N00000X
Chiropractor
4499
WI
Other
Enumeration date
04/30/2009
Last updated
10/24/2012
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