# TRACY BRETL, D.O., S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750328605
- **Authorized official:** DR. TRACY LYNN BRETL D.O. (PRESIDENT)
- **Authorized official phone:** (414) 351-1844

## Contact information

- **Practice address:** 250 W COVENTRY CT, GLENDALE, WI 53217-3972
- **Practice address phone:** (414) 351-8444
- **Practice address fax:** (414) 351-0678
- **Mailing address:** 250 W COVENTRY CT, GLENDALE, WI 53217-3966
- **Mailing address phone:** (414) 351-8444
- **Mailing address fax:** (414) 351-0678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 31707 | WI | Yes |

## Other

- **Enumeration date:** 06/01/2006
- **Last updated:** 08/30/2011