Tracy M Mixdorf in Clear Lake - Family Medicine
Tracy M Mixdorf - NPI 1578573846
Tracy M Mixdorf is a Family Medicine in Clear Lake, Iowa. Tracy M Mixdorf practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Tracy M Mixdorf is 1578573846. The last update date is 2020-07-28.
Tracy M Mixdorf's current location address is 1410 6th Ave S, Clear Lake, Iowa. You can contact this provider via phone number 6414372191 and fax number 6416576020. The mailing address for Tracy M Mixdorf is 1410 6th Ave S, Clear Lake, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy M Mixdorf |
|---|---|
| Address | 1410 6th Ave S, Clear Lake, Iowa |
| Phone Number | 6414372191 |
| Fax Number | 6416576020 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1578573846 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2020-07-28 |
Provider Mailing Address Detail
| Address | 1410 6th Ave S |
|---|---|
| City | Clear Lake |
| State | Iowa (IA) |
| Post Code | 504282606 |
| Phone Number | 6414372191 |
| Fax Number | 6416576020 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 3243 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the Tracy M Mixdorf's unique identification number?
The Tracy M Mixdorf has been assigned the NPI (National Provider Identifier) Number 1578573846 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Tracy M Mixdorf's facilities are geographically located?
The facilities of Tracy M Mixdorf are physically situated at the following location: 1410 6Th Ave S, Clear Lake, IA, 504282606.
What is Tracy M Mixdorf's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tracy M Mixdorf is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1578573846 to Tracy M Mixdorf?
The Tracy M Mixdorf received its 1578573846 assignment from the Centers for Medicare & Medicaid Services on 2006-08-09.
When was the Tracy M Mixdorf's information last updated?
The Tracy M Mixdorf's information was last updated on 2020-07-28.
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