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Individual

DR. TRACY WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9200 W WISCONSIN AVE, DIVISION OF SURGICAL ONCOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-5020
(414) 805-5771
Mailing address
9200 W WISCONSIN AVE, DIVISION OF SURGICAL ONCOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-5020
(414) 805-5771

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
044456
CT
2086S0120X
Pediatric Surgery Physician
50679
WI
2086X0206X
Surgical Oncology Physician
Primary
50679
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1316141955
WI
Enumeration date
06/14/2007
Last updated
09/09/2022
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