Individual
TRACY L COUSINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
425 PINE RIDGE BLVD STE 200, WAUSAU, WI 54401-4123
(715) 847-2130
Mailing address
425 PINE RIDGE BLVD STE 200, WAUSAU, WI 54401-4123
(715) 847-0075
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35452
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32045200
—
WI
Enumeration date
01/25/2006
Last updated
04/03/2025
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