Tracy Goetz Hall, M.D.

Pediatrics Physician · Minnetonka, MN

Individual Active NPI

NPI number 1154594109

Practice location

17705 Hutchins Dr
Minnetonka, MN 55345-4145
Phone
(952) 401-8300

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NPI record

NPI
1154594109
Entity type
Individual (Type 1)
Enumeration date
April 10, 2008
Last updated
June 30, 2021
Certified
June 30, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 54821 MN

Mailing address

17705 Hutchins Drive, Suite 101
South Lake Pediatrics
Minnetonka, MN 55345
Phone
(952) 401-8300
Fax
(952) 401-8373

About Dr. Hall

Tracy Goetz Hall, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 17705 Hutchins Dr, Minnetonka, MN 55345-4145. The NPI number 1154594109 was assigned on April 10, 2008 and the record was last updated on June 30, 2021.

Dr. Hall lists a license in the registry: #54821 (MN) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tracy Goetz Hall, M.D.?

The NPI number is 1154594109.

What is the phone number of Dr. Hall?

The phone number listed for the practice location is (952) 401-8300.

Where is Dr. Hall located?

17705 Hutchins Dr, Minnetonka, MN 55345-4145.

What is the taxonomy code for Dr. Hall?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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