Tracy Anne Chisholm, PA-C

NPI #1740378033 in Robbinsdale, Minnesota

Provider Information

NPI Number
1740378033
Entity Type
Individual
Name
Tracy Anne Chisholm, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PA-C
Enumeration Date
Oct 11, 2006
Last Updated
Feb 3, 2015

Practice Location

Address
3366 OAKDALE AVE N
Address 2
SUITE 103
ZIP Code
55422-2948
Phone
(763) 520-7870

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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