Individual
DR. TRACY E MCCALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
N19W24075 RIVERWOOD DR STE 228, WAUKESHA, WI 53188-1170
(262) 523-1200
(262) 523-1230
Mailing address
N19W24075 RIVERWOOD DR STE 228, WAUKESHA, WI 53188-1170
(262) 523-1200
(262) 523-1230
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
43479-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201461107018
BLUE CROSS AND BLUE SHIEL
WI
05
—
34144000
—
WI
Enumeration date
02/23/2006
Last updated
03/15/2019
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