Tracy L Ricke in Andover - Pediatric Emergency Medicine
Tracy L Ricke - NPI 1275681611
Tracy L Ricke is a Pediatric Emergency Medicine in Andover, Minnesota. Tracy L Ricke practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. The NPI Number for Tracy L Ricke is 1275681611. The last update date is 2011-03-22.
Tracy L Ricke's current location address is 3360 S Coon Creek Dr, Andover, Minnesota. You can contact this provider via phone number 6122986144. The mailing address for Tracy L Ricke is 3360 S Coon Creek Dr, Andover, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy L Ricke |
|---|---|
| Address | 3360 S Coon Creek Dr, Andover, Minnesota |
| Phone Number | 6122986144 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1275681611 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2011-03-22 |
Provider Mailing Address Detail
| Address | 3360 S Coon Creek Dr |
|---|---|
| City | Andover |
| State | Minnesota (MN) |
| Post Code | 553043220 |
| Phone Number | 6122986144 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Emergency Medicine |
|---|---|
| Taxonomy | 2080P0204X |
| Licence No | 53638 |
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Definition: A pediatrician who has special qualifications to manage emergencies in infants and children. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Tracy L Ricke?
The Tracy L Ricke has been issued the NPI (National Provider Identifier) 1275681611 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Tracy L Ricke is geographically located?
The Tracy L Ricke is physically situated at the following location: 3360 S Coon Creek Dr, Andover, MN, 553043220.
What is the Tracy L Ricke's area of specialization and corresponding taxonomy classification?
The Tracy L Ricke's specialty field is Pediatric Emergency Medicine, and it falls under the taxonomy code 2080P0204X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1275681611 to Tracy L Ricke?
The Centers for Medicare & Medicaid Services originally issued the 1275681611 to Tracy L Ricke on 2007-01-08.
When was the information pertaining to Tracy L Ricke most recently updated or revised?
The details related to Tracy L Ricke, including its address, specialty, and other relevant information, were last updated or revised on 2011-03-22.
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