Organization
TRACY BRETL, D.O., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY LYNN BRETL D.O. (PRESIDENT)
(414) 351-1844
Entity
Organization
Contact information
Practice address
250 W COVENTRY CT, GLENDALE, WI 53217-3972
(414) 351-8444
(414) 351-0678
Mailing address
250 W COVENTRY CT, GLENDALE, WI 53217-3966
(414) 351-8444
(414) 351-0678
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
31707
WI
Other
Enumeration date
06/01/2006
Last updated
08/30/2011
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