ABIGAIL TRACY, PA-C

Physician Assistant

Active Individual
NPI: 1336724590

Practice Address

4480 CENTERVILLE RD
White Bear Lake, MN 55127

Phone: (651) 484-2724

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
Physician Assistant 363A00000X Yes 14165 (MN)

Frequently Asked Questions

NPI 1336724590 is the National Provider Identifier for ABIGAIL TRACY, PA-C, a Physician Assistant provider located in White Bear Lake, MN. This NPI was enumerated on March 9, 2021.
ABIGAIL TRACY, PA-C practices at 4480 CENTERVILLE RD, White Bear Lake, MN 55127.

Quick Facts

NPI
1336724590
Type
Individual
Enumerated
Mar 9, 2021
Last Updated
Jan 19, 2024

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