Individual
MR. NATHAN ALEXANDER TRATNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-IT
Contact information
Practice address
34700 VALLEY RD, OCONOMOWOC, WI 53066-4500
(262) 646-4411
Mailing address
4600 W SCHROEDER DR, BROWN DEER, WI 53223-1469
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3320
WI
363A00000X
Physician Assistant
Primary
8020-23
WI
Other
Enumeration date
03/26/2018
Last updated
07/10/2024
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