Individual
TRACY BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
630 S CENTRAL AVE STE 303, MARSHFIELD, WI 54449-4196
(715) 898-1298
Mailing address
630 S CENTRAL AVE STE 303, MARSHFIELD, WI 54449-4196
(715) 898-1298
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8804-33
WI
Other
Enumeration date
11/04/2018
Last updated
09/19/2022
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