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NPI Code Detail

MEDICARE: TRACY KRITZ MD

MEDICARE: TRACY KRITZ MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianA71592CA

General Provider Information

NPI Number : 1376614339
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACY KRITZ MD
Provider Business Mailing Address
First Line : 2004 FORD PKWY
Second Line :
City : SAINT PAUL
State : MN
Zip : 55116-1931
Country : US
Telephone Number : 888-290-1209
Fax Number :
Provider Business Practice Location Address
First Line : 2004 FORD PKWY
Second Line :
City : SAINT PAUL
State : MN
Zip : 55116-1931
Country : US
Telephone Number : 888-290-1209
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2006
Last Update Date : 01/09/2026

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Directions to “ TRACY KRITZ MD” Practice Location

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