-- TRACY FUCHS GANNON -- MD
Individual Provider (NPI-1)
Active
Dermatology
Provider Information
- NPI Number
1720053937- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 3640 TALMAGE CIRCLE SUITE 216, VADNAIS HEIGHTS, MN, 551104183
- Phone
- (651) 224-4930
- Fax
- (651) 842-3391
Specialties & Taxonomies
Dermatology
Primary License: MN #31837