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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRACY ANNE CHISHOLM, PA-C

Active

TRACY ANNE CHISHOLM, PA-C is a Surgical Physician Assistant healthcare provider located in ROBBINSDALE, Minnesota. NPI 1740378033 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · ROBBINSDALE, MN

Registration Details

NPI Number
1740378033
Provider Type
Individual
Gender
Female
NPI Issued
Oct 11, 2006 (19.805102378853 yrs)
Last Updated
Feb 3, 2015
License
10830 (MN)

Practice Information

Address
3366 OAKDALE AVE N
SUITE 103
ROBBINSDALE, MN, 554222948
Browse MN providers · Browse ZIP 55422
Phone
7635207870
Fax
7635207580
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in ROBBINSDALE, MN

Name Credential NPI
JENNIFER A. GRESETH PA-C 1982796199
KYLE R EXSTED PAC 1669679486
MARTA KHAN PA-C 1356793921
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.