Individual
DR. TRACY LOUISE PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.,M.A.
Contact information
Practice address
2801 E ENTERPRISE AVE STE 205, APPLETON, WI 54913-8559
(920) 968-9311
Mailing address
2801 E ENTERPRISE AVE STE 205, APPLETON, WI 54913-8559
(920) 968-9311
(920) 305-7411
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
64564-20
WI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
40852
AZ
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
40852
AZ
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
64564-20
WI
2083P0901X
Public Health & General Preventive Medicine Physician
64564-20
WI
Other
Enumeration date
05/20/2008
Last updated
06/02/2021
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