Individual
MRS. TRACY RENEE PERNSTEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
W6038 APPLE AVE, MEDFORD, WI 54451-9733
(715) 560-0115
Mailing address
W6038 APPLE AVE, MEDFORD, WI 54451-9733
(715) 560-0115
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
168794
WI
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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