Dodig, Tracie Farrell

Dodig, Tracie Farrell is an individual health care provider with primary practice located at 14001 Ridgedale Dr #100, Minnetonka MN 55305-1781. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dodig, Tracie Farrell can be contacted via phone (952) 473-0211.

Contact Information

Primary practice address
14001 Ridgedale Dr #100 Minnetonka MN 55305-1781
Phone: (952) 473-0211
Fax: (952) 473-7908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 43498 Minnesota

Profile Details

NPI number 1902878408
LBN Legal business name Dodig, Tracie Farrell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Apr 2nd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902878408 NPPES
Minnesota MEDICAID 087214800

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