Individual
TRACY BLAIR WANDTKE HERRMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP, CNM
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-4777
(414) 805-4774
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-4777
(414) 805-4774
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
3276-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003009010
—
WI
Enumeration date
08/22/2007
Last updated
01/06/2026
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