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Tracy Gannon, MD
NPI 1720053937 · Dermatology Physician · Vadnais Heights, MN
Tracy Gannon, MD is a Dermatology Physician provider in Vadnais Heights, MN (NPI 1720053937).
Provider details
- NPI number
- 1720053937
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 31837 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3640 Talmage Circle
Suite 216
Vadnais Heights, MN 55110-4183
Phone: (651) 224-4930
Fax: (651) 842-3391
Street-level locationGet directions
Mailing address
2854 Highway 55
Eagan, MN 55121-1447
Registry dates
- Enumerated
- 2006-02-21
- Last updated
- 2011-06-03
Frequently asked questions
- What is Tracy Gannon's NPI number?
- Tracy Gannon's National Provider Identifier (NPI) is 1720053937, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tracy Gannon's specialty?
- Tracy Gannon is listed in the NPPES registry with a primary specialty of Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Tracy Gannon located?
- Tracy Gannon's practice location on file with NPPES is 3640 Talmage Circle, Vadnais Heights, MN 55110-4183.
- What is Tracy Gannon's phone number?
- The practice phone number listed in the NPPES registry for Tracy Gannon is (651) 224-4930.
- Is Tracy Gannon's NPI active?
- Yes — Tracy Gannon's NPI (1720053937) is active in the NPPES registry as of the last update on 2011-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.