person
Dr. Traci Renae Fritz, MD
General Practice Physician in Wauwatosa, Wisconsin
NPI 1104090265

Traci Renae Fritz is a General Practice Physician based in Wauwatosa, WI. Traci Renae Fritz practices in Wauwatosa, WI and has the professional credentials of MD. The NPI Number for Traci Renae Fritz is 1104090265 and holds a License No. 64874 (Wisconsin).

The current practice location address for Traci Renae Fritz is 6100 W State St Apt 404, Wauwatosa, WI and can be reached out via phone at 254-485-9570 and via fax at 414-475-7706. You can also correspond with Traci Renae Fritz through the mailing address at 6100 W STATE ST APT 404, WAUWATOSA, WI - 53213-2994 (mailing address contact number: 254-485-9570).

Location: 6100 W State St Apt 404, Wauwatosa, WI, 53213-2994
person
Provider Profile Details
NPI Number
1104090265
Provider Name
Traci Renae Fritz
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
6100 W State St Apt 404, Wauwatosa, WI, 53213-2994
Phone Number
254-485-9570
Fax Number
414-475-7706
Provider Enumeration Date
04/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1104090265 05 WI
1508830076 05 WI
institution
Provider Business Practice Location Address Details
Address
6100 W State St Apt 404
City
State
Zip
53213-2994
Phone Number
254-485-9570
Fax Number
414-475-7706
person
Provider Business Mailing Address Details
Address
6100 W State St Apt 404
City
State
Zip
53213-2994
Phone Number
254-485-9570
Fax Number
414-475-7706
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
64874 (Wisconsin)
Definition
Definition to come...
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