Individual
TRACI DEANNA PAWLITSCHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-3025
(608) 263-6400
Mailing address
2119 REGENT ST, MADISON, WI 53726-3941
(425) 231-6882
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
8225-851
WI
390200000X
Student in an Organized Health Care Education/Training Program
390200000X
OR
Other
Enumeration date
04/11/2019
Last updated
06/18/2020
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