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Individual

MRS. TRACEY SUE KOCHANSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
1130 W SUNSET DR, WAUKESHA, WI 53189-8422
(262) 446-5169
Mailing address
1130 W SUNSET DR, WAUKESHA, WI 53189
(866) 389-2727

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2011003580
WI
363LF0000X
Family Nurse Practitioner
Primary
5653
WI

Other

Enumeration date
06/10/2013
Last updated
11/11/2022
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