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Individual

TRACY C BLICHFELDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1217 ANNE ST NW, BEMIDJI, MN 56601-5113
(218) 755-6360
Mailing address
1217 ANNE ST NW, BEMIDJI, MN 56601-5113
(218) 755-6360

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
52702
WI
207R00000X
Internal Medicine Physician
Primary
52750
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1912160219
MN
Enumeration date
07/07/2008
Last updated
02/28/2025
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