Dr. Tracy L Ricke
Pediatric Emergency Doctor
3360 S Coon Creek Dr
Andover
, Minnesota 55304-3220
Dr. Tracy L Ricke
Pediatric Emergency Doctor
3360 S Coon Creek Dr
Andover
, Minnesota 55304-3220
(612) 298-6144
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About
Features
Specialties
- Pediatric Emergency Doctor
Languages spoken
- English
Location
First Address
- Dr. Tracy L Ricke
- 3360 S Coon Creek Dr
- Andover, MN
- Zip : 55304-3220
- Phone : (612) 298-6144
Second Address
- Dr. Tracy L Ricke
- 3360 S Coon Creek Dr
- Andover, MN
- Zip : 55304-3220
- Phone : (612) 298-6144
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0204X | Pediatric Emergency Doctor | 53638 | MN |
National Provider Identifier
| NPI | 1275681611 |
|---|---|
| Provider Name | Dr. Tracy L Ricke |
| First Address | Andover, MN 55304-3220 |
| Second Address | Andover, MN 55304-3220 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/01/2007 |
| Last Update Date | 22/03/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.