Individual
DR. TRACY L ROSIEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
810 S IRISH RD, CHILTON, WI 53014-1773
(920) 849-8467
(920) 849-8469
Mailing address
810 S IRISH RD, CHILTON, WI 53014-1773
(920) 849-8467
(920) 849-8469
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3128035
WI
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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