Individual
DR. TRACY DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3200 PLEASANT VALLEY RD, WEST BEND, WI 53095-9274
(262) 334-5533
Mailing address
3200 PLEASANT VALLEY RD, WEST BEND, WI 53095-9274
(262) 334-5533
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
62995-20
WI
208M00000X
Hospitalist Physician
62995-20
WI
Other
Enumeration date
04/08/2013
Last updated
08/01/2016
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