NPI 1720053937

Tracy Fuchs Gannon, MD

Practitioner Dermatology Physician Vadnais Heights, MN

Practice location

Address: 3640 Talmage Circle Suite 216, Vadnais Heights, MN 55110-4183
Phone: (651) 224-4930
Fax: (651) 842-3391
Mailing address: 2854 Highway 55 Suite 130, Eagan, MN 55121-1447

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 31837 (MN)

Other Dermatology providers in Minnesota →

Registry record

NPI: 1720053937
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Feb 2006
Record last updated: 3 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.