TRACI ROBERTS — Medicare Enrolled Provider (PRACTITIONER - INTERNAL MEDICINE, MN)
TRACI ROBERTS — Medicare Enrolled Provider (PRACTITIONER - INTERNAL MEDICINE, MN) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: TRACI ROBERTS; Type: Individual; NPI: 1003100900.
| Name | TRACI ROBERTS |
|---|---|
| Type | Individual |
| NPI | 1003100900 |
| Provider type | PRACTITIONER - INTERNAL MEDICINE |
| State | MN |
| Enrollment ID | I20171023000160 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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