Individual
DR. TRACI RENAE FRITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6100 W STATE ST APT 404, WAUWATOSA, WI 53213-2994
(254) 485-9570
(414) 475-7706
Mailing address
6100 W STATE ST APT 404, WAUWATOSA, WI 53213-2994
(254) 485-9570
(414) 475-7706
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
64874
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104090265
—
WI
05
—
1508830076
—
WI
Enumeration date
04/18/2008
Last updated
02/11/2019
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