Tracie Kathryn Myers, TM

NPI #1750687208 in Brook Park, Minnesota

Provider Information

NPI Number: 1750687208
Entity Type: Individual
Name: Tracie Kathryn Myers, TM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Midwife
Credential: TM
Enumeration Date: Feb 1, 2011
Last Updated: Apr 20, 2011

Practice Location

Address: 22976 QUAMBA ST
City: Brook Park
State: Minnesota
ZIP Code: 55007-4674
Phone: (763) 691-3746

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X	Primary

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