Individual
TRACY RENEE GEOFFRION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2380
(414) 266-2294
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2380
(414) 266-2294
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2025-00179
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
22963
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760748107
—
WI
Enumeration date
04/10/2012
Last updated
07/25/2025
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