Individual
DR. TRACY LYNN BRETL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6793 N GREEN BAY AVE, GLENDALE, WI 53209-3422
(414) 351-1844
(414) 351-0678
Mailing address
6793 N GREEN BAY AVE, GLENDALE, WI 53209-3422
(414) 351-1844
(414) 351-0678
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
31707-021
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30055700
—
WI
Enumeration date
05/25/2006
Last updated
05/15/2012
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