Individual
DR. TRACIE M DUNEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
12800 N PORT WASHINGTON RD, MEQUON, WI 53097-2415
(262) 243-9600
(262) 243-9661
Mailing address
4425 N PORT WASHINGTON RD, CSMCP CLINIC CREDENTIALING, GLENDALE, WI 53212-1082
(262) 243-9600
(262) 243-9661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49861
WI
207Q00000X
Family Medicine Physician
49861021
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37578800
—
WI
Enumeration date
10/26/2007
Last updated
03/07/2023
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