Individual
MS. TRACYE DAWN RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
120 N BROAD STREET, MANKATO, MN 56001
(507) 345-5087
(507) 345-1151
Mailing address
120 N BROAD STREET, MANKATO, MN 56001
(507) 345-5087
(507) 345-1151
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3014
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004146700
—
MN
Enumeration date
09/20/2006
Last updated
05/23/2023
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