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Abigail Tracy, PA-C
NPI 1336724590 · on the registry since 2021 · sole proprietor
Practice
- Address
- 4480 Centerville Rd
White Bear Lake, MN 55127 - Phone
- (651) 484-2724
- Fax
- (651) 484-2723
- Organisation at this address
- Advanced Dermatology Care Medical Cosmetic And Surgery Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota