Individual
TRACIE FARRELL DODIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14001 RIDGEDALE DR, #100, MINNETONKA, MN 55305-1781
(952) 473-0211
(952) 473-7908
Mailing address
14001 RIDGEDALE DR, #100, MINNETONKA, MN 55305-1781
(952) 473-0211
(952) 473-7908
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
43498
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087214800
—
MN
Enumeration date
02/07/2006
Last updated
04/02/2018
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