Individual
DR. TRACEY O'NEAL HOOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2500 E CAPITOL DR, APPLETON, WI 54911-8735
(920) 380-4999
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 380-4999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34006990
OH
207Q00000X
Family Medicine Physician
Primary
72733
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000522471
ANTHEM BCBS
OH
05
—
2188734
—
OH
05
—
5179573
—
MI
01
—
810547599075
CARESOURCE
OH
Enumeration date
04/04/2006
Last updated
11/10/2023
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